Karen Tracy Collica

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95007559 Issued in CA

Practice address

3853 Rosecrans St
San Diego, CA 92110-3115

Phone

(619) 692-8232

Fax

(619) 542-4060

NPI assigned

Apr 16, 2013

Last updated

Nov 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of California, San Diego School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union of Pan Asian CommunitiesGroup PAC ID 3476690801, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Union of Pan Asian Communities

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1669686127
  Medicare reassignment Care Compare group NPD
• Mellow Medical Inc a Professional Corporation

  • Psychiatry Physician
  • West Hollywood, CA
  • NPI 1407275886
  Medicare reassignment NPD
• Pouya Afshar MD Inc

  dba Integrated Healthcare Alliance Inc.

  • Specialist
  • San Diego, CA
  • NPI 1710336094
  Medicare reassignment NPD
• Union of Pan Asian Communities

  dba UPAC, Promise Wellness Center Barrio

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1699474478
  NPD
• Union of Pan Asian Communities

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1841404837
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1245673581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 ROSECRANS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103115",
            "telephone_number": "619-692-8232",
            "fax_number": "619-542-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3853 ROSECRANS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103115",
            "telephone_number": "619-692-8232",
            "fax_number": "619-542-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLICA",
        "first_name": "KAREN",
        "middle_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007559",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "822126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• College Town Senior Retirement Villa Inc
• Glenn T Collera, DPT
• Kristoffer Ray Tierra Collera
• Alicia Colley, B.S
• Maria Cecilia Jamito Colli, NP
• Summer B. Collier, NP
• Laura B. Colligan, MFT
• Collin Liu, MD, Inc. (Collin Liu, MD)
• Patricia Simmen Collin, R.D
• Justin Oneal Collington

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.