Active NPI
Michele Renee Caballero, NP
- Family Nurse Practitioner
- Hemet, CA
National Provider Identifier
1801217005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95000104
- Practice address
- 2390 E Florida Ave
101
Hemet, CA 92544-4707 - Phone
- (951) 658-7297
- NPI assigned
- Dec 16, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95000104 | CA | Primary |
Addresses
Primary practice location
2390 E Florida Ave
101
Hemet, CA 92544-4707
Mailing address
26652 Via la Quinta
Hemet, CA 92544-7571
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240423002675 | CA | Practitioner - Nurse Practitioner | 6002118965 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000104 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Medical Group, Inc. | Current | Accepting new patients | |
| Regal Medical Group, Inc. | Current | Accepting new patients |
Locations
29798 Haun Rd
Ste 307
Menifee, CA 92586
Phone (951) 326-2444
275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814
Interoperability endpoints
- michele.caballero.p4@direct.regal.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1801217005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26652 VIA LA QUINTA",
"city": "HEMET",
"state": "CA",
"postal_code": "925447571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2390 E FLORIDA AVE",
"address_2": "101",
"city": "HEMET",
"state": "CA",
"postal_code": "925444707",
"telephone_number": "951-658-7297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABALLERO",
"first_name": "MICHELE",
"middle_name": "RENEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-16",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95000104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.