Individual provider Active NPI

Mary Catherine Overlander, FNP

  • Family Nurse Practitioner
  • Valencia, CA
National Provider Identifier
1629582341
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007490 Issued in CA
Practice address
26101 McBean Pkwy
Valencia, CA 91355-2007
Phone
(661) 200-3385
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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 95007490 CA Primary

Addresses

Primary practice location

26101 McBean Pkwy
Valencia, CA 91355-2007

Mailing address

26101 McBean Pkwy Unit 137
Valencia, CA 91355-2007
Phone (805) 844-0869

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
I20200528002967 CA Practitioner - Nurse Practitioner 2769803725 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95007490CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Dixon Family Health Center, Inc CurrentSince Apr 29, 2020 Accepting new patients

Locations

23772 Newhall Ave
Newhall, CA 91321
Phone (661) 291-1777

30257 San Martinez Rd
Val Verde, CA 91384
Phone (661) 257-4008

25115 Avenue Stanford
#A104
Valencia, CA 91355
Phone (661) 257-2339

25115 Avenue Stanford
Ste A104
Valencia, CA 91355

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1629582341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26101 MCBEAN PKWY UNIT 137",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552007",
            "telephone_number": "805-844-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26101 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552007",
            "telephone_number": "661-200-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERLANDER",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.