Erica Roxanne Caudillo, CDAAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

167 N 3Rd Ave Ste N
Upland, CA 91786-6052

Phone

(909) 331-8820

NPI assigned

Jan 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1356887152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 N 3RD AVE STE N",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866052",
            "telephone_number": "909-331-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 N 3RD AVE STE N",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866052",
            "telephone_number": "909-331-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILLO",
        "first_name": "ERICA",
        "middle_name": "ROXANNE",
        "credential": "CDAAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alondra Castro Ortiz
• Jose Mariano Castro, D.D.S.
• Tania Catano, LMFT
• Jan Catlin, PHARMD
• Caudillo-Cole Therapeutiks
• Cynthia P Cecil, LSW
• Cedars Transport
• Celebrity Homehealth Inc.
• Centerline Diagnostics
• Central City Community Health Center Inc

• Addiction (Substance Use Disorder) Counselor in Upland, CA
• Providers in Upland, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.