Individual provider Active NPI

Cindy Portillo Calona

  • Community Health Worker
  • Burbank, CA
National Provider Identifier
1467023762
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
601 S Glenoaks Blvd Ste 200
Burbank, CA 91502-2787
Phone
(818) 333-8595
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

601 S Glenoaks Blvd Ste 200
Burbank, CA 91502-2787

Mailing address

225 W Broadway Ste 155
Glendale, CA 91204-1332
Phone (818) 333-8295

Other practice location 1

21535 Hawthorne Blvd Ste 102
Torrance, CA 90503-6626
Phone (310) 817-2177

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

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling4Kids CurrentSince Jun 11, 2023 Accepting new patients
Counseling4Kids, Inc. PastSince Jun 1, 2023 Accepting new patients

Locations

601 S Glenoaks Blvd
Ste 200
Burbank, CA 91502
Phone (818) 333-8281

225 W Broadway
Ste 155
Glendale, CA 91204
Phone (818) 333-8293

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1467023762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W BROADWAY STE 155",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041332",
            "telephone_number": "818-333-8295",
            "fax_number": "818-662-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S GLENOAKS BLVD STE 200",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022787",
            "telephone_number": "818-333-8595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21535 Hawthorne Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905036626",
            "country_code": "US",
            "telephone_number": "310-817-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALONA",
        "first_name": "CINDY",
        "middle_name": "PORTILLO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.