Active NPI
Angelica Marie Ceja
- Adult Companion
- Napa, CA
National Provider Identifier
1457844490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 7517178457
- Practice address
- 1036 Pueblo Ave TRLR 9
Napa, CA 94558-3543 - Phone
- (707) 392-8677
- NPI assigned
- Jun 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 7517178457 | CA | Primary |
Addresses
Primary practice location
1036 Pueblo Ave TRLR 9
Napa, CA 94558-3543
Mailing address
1036 Pueblo Ave TRLR 9
Napa, CA 94558-3543
Phone (707) 392-8677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96657454A88095 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7517178457 | CA | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1457844490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 PUEBLO AVE TRLR 9",
"city": "NAPA",
"state": "CA",
"postal_code": "945583543",
"telephone_number": "707-392-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 PUEBLO AVE TRLR 9",
"city": "NAPA",
"state": "CA",
"postal_code": "945583543",
"telephone_number": "707-392-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEJA",
"first_name": "ANGELICA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "CA",
"license": "7517178457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96657454A88095",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.