Individual provider Active NPI

Veronica Castellanos, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • San Fernando, CA
National Provider Identifier
1326793738
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95019953 Issued in CA
Practice address
635 N Lazard St
San Fernando, CA 91340-1926
Phone
(818) 730-5939
NPI assigned
Feb 14, 2022
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95019953 CA Primary

Addresses

Primary practice location

635 N Lazard St
San Fernando, CA 91340-1926

Mailing address

635 N Lazard St
San Fernando, CA 91340-1926
Phone (818) 730-5939

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
I20240223004110 CA Practitioner - Nurse Practitioner 0840635306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17114 Devonshire St
Suite 200
Northridge, CA 91325-1619
Phone (818) 646-1771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95019953CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All-Inclusive Community Health Center Current Accepting new patients
All-Inclusive Community Health Center CurrentSince Jan 16, 2024 Accepting new patients
All-Inclusive Community Health Center CurrentSince Jan 16, 2024 Accepting new patients

Locations

1311 N San Fernando Blvd
Burbank, CA 91504
Phone (818) 843-9900

17114 Devonshire St
Northridge, CA 91325
Phone (818) 646-1771

17114 Devonshire St
Ste 200
Northridge, CA 91325
Phone (818) 646-1771

Organizations & group practices 3

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1326793738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N LAZARD ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401926",
            "telephone_number": "818-730-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N LAZARD ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401926",
            "telephone_number": "818-730-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "VERONICA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

Verify at the official NPI Registry.