Magdalena Lopez Calderon
Individual provider Active NPI Rehabilitation Clinical Nurse Specialist · Marysville, CA
NPI 1558096065 · NPPES record last updated Jul 19, 2022
Key facts
- NPI
- 1558096065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Clinical Nurse Specialist 364SR0400X
- License
- 702741 (CA)
- Practice address
- 1496 N Beale Rd
Marysville, CA 95901-6205 - Phone
- (530) 749-8640
- NPI assigned
- Jul 19, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 702741 | CA | MD | Rehabilitation Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Addiction Treatment Services Inc | Current |
Accepting new patients |
Locations
1496 N Beale Rd
Marysville, CA 95901
Phone (530) 749-8640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinical Nurse Specialist | 364SR0400X | 702741 | CA | Yes |
Addresses
Primary practice location
1496 N Beale Rd
Marysville, CA 95901-6205
Mailing address
1496 N Beale Rd
Marysville, CA 95901-6205
Phone (530) 749-8640
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275804205 | Medicaid | CA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ullahmag@gmail.com | Health Information Exchange (HIE) | |
| CONNECT URL | ullahmag@gmail.com | Direct |
Other providers in Marysville, CA
- B. a. Doc Livingston
- Natasha Llamas
- Longs Drug Stores California LLC
- Ashly Longstreth
- Lisa Yvonne Lopez Barajas
- Heidi Roth Lopez
- Juan Antonio Lopez Jr.
- Leslie Lopez
- Mario Lopez
- Natalie Lopez
All providers in Marysville, CA · Rehabilitation Clinical Nurse Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.