Nancy Callaham, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

55458 Issued in CA

Practice address

212 Bailey St
Los Angeles, CA 90033-2459

Phone

(818) 397-1135

NPI assigned

Jul 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Teleweight and Wellness Clinic Inc

  • Medical Physician Assistant
  • Sacramento, CA
  • NPI 1184594343
  NPD Authorized official
• Avalon Wound Care Inc

  • Health Service Clinic/Center
  • Burbank, CA
  • NPI 1972354959
  Medicare reassignment
• Refael Medical, Inc.

  • General Practice Physician
  • Beverly Hills, CA
  • NPI 1003502386
  Medicare reassignment
• Temima Healthcare

  • General Practice Physician
  • Beverly Hills, CA
  • NPI 1245078054
  Medicare reassignment
• Wound Health Medical Ca PC

  dba Wound Wellness

  • Public Health & General Preventive Medicine Physician
  • Los Angeles, CA
  • NPI 1942036520
  Medicare reassignment

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1386052371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BAILEY ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332459",
            "telephone_number": "818-397-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BAILEY ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332459",
            "telephone_number": "818-397-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAM",
        "first_name": "NANCY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PAT9107943",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "55458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexus Call
• Danielle Call
• Kamron Hunter Call
• Melissa Anne Callaghan, CRNA
• Artis Marie Callaham, PHD
• India Semone Callahan-Igbokidi
• Christopher Callahan
• Devon Sittlow Callahan, M.D
• James George Callahan, D.M.D.
• Kelly L Callahan, MD

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.