Individual provider Active NPI

Linda Honda, N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Carmichael, CA
National Provider Identifier
1598720732
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
13132 Issued in CA
Practice address
5821 Jameson CT
Carmichael, CA 95608-0820
Phone
(916) 486-0411
Fax
(916) 486-0525
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 13132 CA Primary

Addresses

Primary practice location

5821 Jameson CT
Carmichael, CA 95608-0820

Mailing address

5821 Jameson CT
Carmichael, CA 95608-0820
Phone (916) 486-0411

Other identifiers 1

IdentifierTypeStateIssuer
YYY49032YMedicaidCA

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
I20081222000426 CA Practitioner - Nurse Practitioner 9335201581 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12132CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kamras and Polansky Medical Corporation CurrentSince Mar 17, 2019 Accepting new patients

Locations

5821 Jameson Ct
Carmichael, CA 95608
Phone (916) 486-0411

621 Capitol Mall
Ste 950
Sacramento, CA 95814
Phone (916) 486-0411

Organizations & group practices 1

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1598720732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080820",
            "telephone_number": "916-486-0411",
            "fax_number": "916-486-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080820",
            "telephone_number": "916-486-0411",
            "fax_number": "916-486-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONDA",
        "first_name": "LINDA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "13132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY49032Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.