Individual provider Active NPI

Andrea Calderon-Gomez, FNP

  • Family Nurse Practitioner
  • Lindsay, CA
National Provider Identifier
1245724376
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008149 Issued in CA
Practice address
781 Sequoia Ave Ste 3
Lindsay, CA 93247-1448
Phone
(559) 562-9399
Fax
(559) 562-6125
NPI assigned
Jun 21, 2018
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008149 CA Primary

Addresses

Primary practice location

781 Sequoia Ave Ste 3
Lindsay, CA 93247-1448

Mailing address

PO Box 580
Lemoore, CA 93245-0580
Phone (559) 386-4500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240808003963 CA Order and Referring Only - Nurse Practitioner 7911258173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Community Health Center PastSince Mar 31, 2024 Accepting new patients
Aria Community Health Center PastSince Mar 31, 2024 Accepting new patients
Aria Community Health Center PastSince Dec 16, 2020 Accepting new patients
Aria Community Health Center PastSince Dec 22, 2019 Accepting new patients
Aria Community Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrea.calderongomez.p1@direct.altura.nextgenshare.com
  • Direct secure messaging: andrea.calderongomez.p1@direct.ariachc.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1245724376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932450580",
            "telephone_number": "559-386-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 SEQUOIA AVE STE 3",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "932471448",
            "telephone_number": "559-562-9399",
            "fax_number": "559-562-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON-GOMEZ",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindsay, CA

Sources for this page

Verify at the official NPI Registry.