Active NPI
Bernardine Andrea Celoni, MD
- Pediatrics Physician
- Arcadia, CA
National Provider Identifier
1316958788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A-034904
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013047 | Other | AMER ACAD OF PEDIATRICS | |
| 64914764244 | Other | ME (MED EDUC) VIA AMA |
Other names 1
- Dr. Bernardine Andrea Hillseth
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
| License | State | Type | Specialty |
|---|---|---|---|
| A-034904 | CA | MD | Pediatrics Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- 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.