Individual provider Active NPI

Maria Elenita S. Callado, NP

  • Acute Care Nurse Practitioner
  • Arcadia, CA
National Provider Identifier
1467609727
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP 13938 Issued in CA
Practice address
622 W Duarte Rd Ste 202
Arcadia, CA 91007-9272
Phone
(626) 446-4461
Fax
(626) 445-0647
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP 13938 CA Primary

Addresses

Primary practice location

622 W Duarte Rd Ste 202
Arcadia, CA 91007-9272

Mailing address

622 W Duarte Rd
Arcadia, CA 91007-7606
Phone (626) 446-4461

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160321000378 CA Order and Referring Only - Nurse Practitioner 4082666912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13938CAMDAcupuncturist
NP 13938CAMDAcute Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mariaelenita.callado.p3@direct.scoa.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1467609727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077606",
            "telephone_number": "626-446-4461",
            "fax_number": "626-445-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD STE 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079272",
            "telephone_number": "626-446-4461",
            "fax_number": "626-445-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLADO",
        "first_name": "MARIA ELENITA",
        "middle_name": "S.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP 13938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.