Individual provider Active NPI

Sheila Cardoniga, FNP-BC

  • Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1366050254
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95015209 Issued in CA
Practice address
27943 Seco Canyon Rd # 225
Santa Clarita, CA 91350-3872
Phone
(661) 360-8781
Fax
(661) 360-8781
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 706459 CA
Nurse Practitioner 363L00000X 95015209 CA Primary

Addresses

Primary practice location

27943 Seco Canyon Rd # 225
Santa Clarita, CA 91350-3872

Mailing address

27943 Seco Canyon Rd # 225
Santa Clarita, CA 91350-3872
Phone (661) 360-8781

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
I20211001001718 CA Practitioner - Nurse Practitioner 6204234420 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lev Grinman MD 6 Professional Corporation 10 clinicians

Practice addresses (Care Compare)

Pasadena, CA 91101
Phone (626) 376-9281

Hospital & facility affiliations

  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
706459CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Practitioner Medical Group - a Professional Nursing Corp CurrentSince Jul 18, 2024 Accepting new patients
Lev Grinman MD 6 Professional Corporation CurrentSince Feb 1, 2025 Accepting new patients
San Fernando Valley Medical Group Inc CurrentSince Oct 15, 2024 Accepting new patients

Locations

595 E Colorado Blvd
Ste 611
Pasadena, CA 91101
Phone (626) 347-8548

10570 Foothill Blvd
Ste 210
Rancho Cucamonga, CA 91730
Phone (909) 991-7577

4955 Van Nuys Blvd
Ste 502
Sherman Oaks, CA 91403
Phone (818) 325-0200

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1366050254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27943 SECO CANYON RD # 225",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503872",
            "telephone_number": "661-360-8781",
            "fax_number": "661-360-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27943 SECO CANYON RD # 225",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503872",
            "telephone_number": "661-360-8781",
            "fax_number": "661-360-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONIGA",
        "first_name": "SHEILA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "706459",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.