Individual provider Active NPI

Joe Cagayao

  • Registered Nurse
  • Chula Vista, CA
National Provider Identifier
1467032672
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
748409 Issued in CA
Practice address
825 Caminito Cumbres
Chula Vista, CA 91911-7058
Phone
(619) 861-5147
NPI assigned
Apr 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 748409 CA Primary

Addresses

Primary practice location

825 Caminito Cumbres
Chula Vista, CA 91911-7058

Mailing address

825 Caminito Cumbres
Chula Vista, CA 91911-7058
Phone (619) 861-5147

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Joe.cagayao@sdsheriff.com Direct

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

LicenseStateTypeSpecialty
748409CAMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: joe.cagayao@sdsheriff.com

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1467032672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CAMINITO CUMBRES",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117058",
            "telephone_number": "619-861-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CAMINITO CUMBRES",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117058",
            "telephone_number": "619-861-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGAYAO",
        "first_name": "JOE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "748409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joe.cagayao@sdsheriff.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "825 Caminito Cumbres",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919117058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.