Active NPI
Estelita B. Calica, M.D., Apc.
- Geriatric Psychiatry Physician
- Glendale, CA
National Provider Identifier
1366717431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- C41189
- Legal business name
- ESTELITA B. CALICA, M.D., APC.
- Practice address
- 1505 Wilson Ter Ste 230
Glendale, CA 91206-4074 - Phone
- (818) 546-1515
- NPI assigned
- Mar 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andy H Truong
- Title
- Physician Assistant
- Phone
- (818) 546-1515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | C41189 | CA | Primary |
Addresses
Primary practice location
1505 Wilson Ter Ste 230
Glendale, CA 91206-4074
Mailing address
1505 Wilson Ter Ste 230
Glendale, CA 91206-4074
Phone (818) 546-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1505 Wilson Ter
Ste 230
Glendale, CA 91206
Phone (818) 546-1515
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Glendale, CA
- NPI 1548368665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332288000000",
"number": "1366717431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 WILSON TER STE 230",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064074",
"telephone_number": "818-546-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 WILSON TER STE 230",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064074",
"telephone_number": "818-546-1515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESTELITA B. CALICA, M.D., APC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A",
"authorized_official_last_name": "TRUONG",
"authorized_official_first_name": "ANDY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "818-546-1515",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "CA",
"license": "C41189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.