Active NPI
Judy Celkos, ELECTROLOGIST
- Specialist
- Rancho Cucamonga, CA
National Provider Identifier
1699520197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9679
- Practice address
- 9375 Archibald Ave Ste 311
Rancho Cucamonga, CA 91730-5703 - Phone
- (909) 270-8257
- NPI assigned
- Apr 19, 2024
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 9679 | CA | Primary |
Addresses
Primary practice location
9375 Archibald Ave Ste 311
Rancho Cucamonga, CA 91730-5703
Mailing address
9375 Archibald Ave
Suite 311
Rancho Cucamonga, CA 91730-5703
Phone (909) 767-8655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9679 | Other | CA | ELECTROLOGIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9679 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1699520197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9375 ARCHIBALD AVE",
"address_2": "SUITE 311",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305703",
"telephone_number": "909-767-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9375 ARCHIBALD AVE STE 311",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305703",
"telephone_number": "909-270-8257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELKOS",
"first_name": "JUDY",
"name_prefix": "Ms.",
"credential": "ELECTROLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-19",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "9679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELECTROLOGIST",
"identifier": "9679",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.