Individual provider Active NPI

Joan Hazel B Calinisan, MD

  • Obstetrics Physician
  • Murrieta, CA
National Provider Identifier
1760493886
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A670410 Issued in CA
Practice address
25485 Medical Center Dr Ste 200
Murrieta, CA 92562-6927
Phone
(951) 894-4436
Fax
(951) 677-8080
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X A670410 CA Primary

Addresses

Primary practice location

25485 Medical Center Dr Ste 200
Murrieta, CA 92562-6927

Mailing address

25485 Medical Center Dr Ste 200
Murrieta, CA 92562-6927
Phone (951) 894-4436

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071127000743 CA Practitioner - Obstetrics/Gynecology 0648369777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Geffen School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Women'S Health IncGroup PAC ID 7810270774, 2 clinicians

Practice addresses (Care Compare)

25485 Medical Ctr Dr
Suite 200
Murrieta, CA 92562-6927
Phone (951) 894-4436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A670410CAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Women'S Health Inc CurrentSince Jul 27, 2011 Accepting new patients

Locations

25485 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 461-8684

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: joan.calinisan.p54@direct.kmsm.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jcalinisan118197@direct.llu.edu

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1760493886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25485 MEDICAL CENTER DR STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626927",
            "telephone_number": "951-894-4436",
            "fax_number": "951-776-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25485 MEDICAL CENTER DR STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626927",
            "telephone_number": "951-894-4436",
            "fax_number": "951-677-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALINISAN",
        "first_name": "JOAN HAZEL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-04-30",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A670410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.