Active NPI
John Arviola Zaldua, PMHNP
- Nurse Practitioner
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95023516
- Practice address
- 12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865 - Phone
- (657) 261-7140
- NPI assigned
- Dec 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95023516 | CA | Primary |
Addresses
Primary practice location
12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865
Mailing address
415 East Avenue I
Lancaster, CA 93535
Phone (661) 522-6770
Other practice location 1
23161 Mill Creek Dr
Laguna Hills, CA 92653-7908
Phone (949) 264-5350
Other practice location 2
415 East Avenue I
Lancaster, CA 93535
Phone (661) 522-6770
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95023516 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current | Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients |
Locations
1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660
12141 Brookhurst St
Ste 201
Garden Grove, CA 92840
Phone (657) 261-7140
12141 Brookhurst St
Garden Grove, CA 92840
Phone (714) 296-1934
23161 Mill Creek Dr
Ste 230
Laguna Hills, CA 92653
Phone (949) 264-5350
2020 Iowa Ave
Riverside, CA 92507
Phone (951) 580-1026
2100 N Broadway
Ste 101
Santa Ana, CA 92706
Phone (714) 245-6881
14149 Bucher Ave
Sylmar, CA 91342
Phone (747) 999-4232
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1720164882
-
- Mental Illness Community Based Residential Treatment Facility
- San Diego, CA
- NPI 1275398935
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Fe SPGS, CA
- NPI 1962247296
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Garden Grove, CA
- NPI 1992312805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1306557970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 EAST AVENUE I",
"city": "LANCASTER",
"state": "CA",
"postal_code": "93535",
"telephone_number": "661-522-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12141 BROOKHURST ST STE 201",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928402865",
"telephone_number": "657-261-7140"
}
],
"practiceLocations": [
{
"address_1": "23161 Mill Creek Dr",
"address_purpose": "LOCATION",
"city": "Laguna Hills",
"state": "CA",
"postal_code": "926537908",
"country_code": "US",
"telephone_number": "949-264-5350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 East Avenue I",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "CA",
"postal_code": "93535",
"country_code": "US",
"telephone_number": "661-522-6770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZALDUA",
"first_name": "JOHN",
"middle_name": "ARVIOLA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-05",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95023516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.