Individual provider Active NPI

Asa Mark Calkins, FNP

  • Family Nurse Practitioner
  • Round Mountain, CA
National Provider Identifier
1609152941
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21407 Issued in CA
Practice address
29632 Highway 299 East
Round Mountain, CA 96084
Phone
(530) 337-6243
Fax
(530) 337-6655
NPI assigned
Nov 1, 2011
Last updated
Aug 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21407 CA Primary

Addresses

Primary practice location

29632 Highway 299 East
Round Mountain, CA 96084

Mailing address

2410 Sonoma St 1
Redding, CA 96001-3029
Phone (530) 243-3339

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
21407CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Excellence in Healthcare CurrentSince Dec 29, 2012 Accepting new patients
Redding ENT-Head and Neck Surgery Inc a Medical Group CurrentSince Oct 15, 2014 Accepting new patients
California Family Medical Group Inc CurrentSince Jan 1, 2019 Accepting new patients
Heidi a Herold, MD Inc PastSince Oct 15, 2014 Accepting new patients

Locations

1920 California St
Ste A
Redding, CA 96001
Phone (530) 243-3339

2110 Railroad Ave
Redding, CA 96001
Phone (530) 243-1166

2143 Airpark Dr
Redding, CA 96001
Phone (530) 241-7477

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAEGCA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1609152941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SONOMA ST 1",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013029",
            "telephone_number": "530-243-3339",
            "fax_number": "530-243-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29632 HIGHWAY 299 EAST",
            "city": "ROUND MOUNTAIN",
            "state": "CA",
            "postal_code": "96084",
            "telephone_number": "530-337-6243",
            "fax_number": "530-337-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALKINS",
        "first_name": "ASA",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-01",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Mountain, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.