Individual provider Active NPI

Helen Maranan Macatangay, RN

  • Registered Nurse
  • Livermore, CA
National Provider Identifier
1336788173
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
593409 Issued in CA
Practice address
4049 First St Ste 229
Livermore, CA 94551-5363
Phone
(510) 378-5167
Fax
(925) 271-5112
NPI assigned
Dec 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 593409 CA Primary

Addresses

Primary practice location

4049 First St Ste 229
Livermore, CA 94551-5363

Mailing address

4049 First St Ste 229
Livermore, CA 94551-5363
Phone (925) 215-1890

Other identifiers 1

IdentifierTypeStateIssuer
1144675869MedicaidCA

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
593409CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Asm Family Foundation Current Accepting new patients
Asm Family Foundation Current Accepting new patients

Locations

4049 1st St
Ste 229
Livermore, CA 94551
Phone (510) 378-5167

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1336788173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 FIRST ST STE 229",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945515363",
            "telephone_number": "925-215-1890",
            "fax_number": "925-271-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 FIRST ST STE 229",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945515363",
            "telephone_number": "510-378-5167",
            "fax_number": "925-271-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACATANGAY",
        "first_name": "HELEN",
        "middle_name": "MARANAN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "593409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144675869",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.