Active NPI
Maria Theresa Ordonez Queja, BSN
- Home Health Agency
- Northridge, CA
National Provider Identifier
1629119276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 4059HHA-5
- Practice address
- 19030 Brasilia Dr
Northridge, CA 91326-1520 - Phone
- (323) 819-0479
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 4059HHA-5 | NV | Primary |
Addresses
Primary practice location
19030 Brasilia Dr
Northridge, CA 91326-1520
Mailing address
19030 Brasilia Dr
Northridge, CA 91326-1520
Phone (323) 819-0479
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4059HHA-5 | NV | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629119276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19030 BRASILIA DR",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913261520",
"telephone_number": "323-819-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19030 BRASILIA DR",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913261520",
"telephone_number": "323-819-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEJA",
"first_name": "MARIA THERESA",
"middle_name": "ORDONEZ",
"name_prefix": "Mrs.",
"credential": "BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NV",
"license": "4059HHA-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.