Celena Martina Mahan, LVN, CADC-CAS

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

239951 Issued in CA

Practice address

221 W Crest St # 210
Escondido, CA 92025-1739

Phone

(760) 747-3424

Fax

(760) 747-3435

NPI assigned

Aug 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mission Treatment Services, Inc.

  • Methadone Clinic
  • Escondido, CA
  • NPI 1528288347
  NPD (past)
• Mission Treatment Services, Inc.

  • Methadone Clinic
  • Oceanside, CA
  • NPI 1639508872
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1558554196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W MISSION AVE STE 103",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251721",
            "telephone_number": "760-747-3424",
            "fax_number": "760-747-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W CREST ST # 210",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251739",
            "telephone_number": "760-747-3424",
            "fax_number": "760-747-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "CELENA",
        "middle_name": "MARTINA",
        "name_prefix": "Mrs.",
        "credential": "LVN, CADC-CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "M0411260826",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "239951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James Madsen, D.M.D, M.D.
• Jayanthi Magesh, M.D
• Michael Thomas Magnuson
• Martha Patricia Magos-Brewer, RN
• Daniel Magos
• Maharaj Chiropractic, Inc
• Yaneil Maharaj, D.C.
• Saeideh Mahdavisefat
• Bethany Maher
• Hillary Dawn Mahl, MSN, PHN, PMHNP

• All providers in Escondido, CA
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.