Individual provider Active NPI

Bernardine Andrea Celoni, MD

  • Pediatrics Physician
  • Arcadia, CA
National Provider Identifier
1316958788
Registry record updated Sep 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A-034904 Issued in CA
Practice address
65 N 1St Ave
Ste 104
Arcadia, CA 91006-3207
Phone
(626) 445-2233
Fax
(626) 445-7421
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A-034904 CA Primary

Addresses

Primary practice location

65 N 1St Ave
Ste 104
Arcadia, CA 91006-3207

Mailing address

65 N 1St Ave
Ste 104
Arcadia, CA 91006-3207
Phone (626) 445-2233

Other identifiers 2

IdentifierTypeStateIssuer
1013047OtherAMER ACAD OF PEDIATRICS
64914764244OtherME (MED EDUC) VIA AMA

Other names 1

  • Dr. Bernardine Andrea Hillseth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A-034904CAMDPediatrics Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bernardine.celoni.1@12077.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220659200000",
    "number": "1316958788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N 1ST AVE",
            "address_2": "STE 104",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063207",
            "telephone_number": "626-445-2233",
            "fax_number": "626-445-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N 1ST AVE",
            "address_2": "STE 104",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063207",
            "telephone_number": "626-445-2233",
            "fax_number": "626-445-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELONI",
        "first_name": "BERNARDINE",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A-034904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMER ACAD OF PEDIATRICS",
            "identifier": "1013047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME (MED EDUC) VIA AMA",
            "identifier": "64914764244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNARDINE",
            "last_name": "HILLSETH",
            "middle_name": "ANDREA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.