Individual provider Active NPI

Alonso Cardenas, MD

  • Child & Adolescent Psychiatry Physician
  • Santa Clarita, CA
National Provider Identifier
1811212145
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
137940 Issued in CA
Practice address
27107 Tourney Rd
Santa Clarita, CA 91355-1860
Phone
(661) 222-2187
NPI assigned
Mar 30, 2010
Last updated
Aug 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 137940 CA Primary

Addresses

Primary practice location

27107 Tourney Rd
Santa Clarita, CA 91355-1860

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300

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
I20151007003232 CA Practitioner - Psychiatry 6002124260 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
137940CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Nov 9, 2022 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Aug 29, 2018 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Aug 29, 2018 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Omni Family Health CurrentSince Oct 23, 2024 Accepting new patients
Golden Valley Health Center CurrentSince Nov 9, 2022 Accepting new patients
Omni Family Health Current Accepting new patients
Omni Family Health CurrentSince Oct 23, 2024 Accepting new patients

Locations (25 of 26)

4131 Ming Ave
Bakersfield, CA 93309

4900 California Ave
Ste 100B
Bakersfield, CA 93309
Phone (818) 445-6935

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 826-1045

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1524 McHenry Ave
Ste 550
Modesto, CA 95350
Phone (209) 557-5995

1524 McHenry Ave
Ste 560
Modesto, CA 95350

1524 McHenry Ave
Ste 565
Modesto, CA 95350

1524 McHenry Ave
Ste 570
Modesto, CA 95350
Phone (209) 572-3880

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

925 G St
Reedley, CA 93654
Phone (559) 558-9712

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: alonso.cardenas.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1811212145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GATEWAY CENTER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024541",
            "telephone_number": "619-515-2300",
            "fax_number": "619-269-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27107 TOURNEY RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551860",
            "telephone_number": "661-222-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "ALONSO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "137940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.