Individual provider Active NPI

Charlyn Osoteo Celzo

  • Registered Nurse
  • National City, CA
National Provider Identifier
1366005241
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
839359 Issued in CA
Practice address
2425 Hoover Ave
National City, CA 91950-6619
Phone
(619) 267-8400
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
839359CAMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 839359 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2425 Hoover Ave
National City, CA 91950-6619

Mailing address

8555 Parkbrook St
San Diego, CA 92114-7737

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2019.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1366005241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 PARKBROOK ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921147737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 HOOVER AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919506619",
            "telephone_number": "619-267-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELZO",
        "first_name": "CHARLYN",
        "middle_name": "OSOTEO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "839359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

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