Individual provider Active NPI

Ludivica Calimlim

  • Case Management Registered Nurse
  • San Diego, CA
National Provider Identifier
1831600683
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
489948 Issued in CA
Practice address
200 West Arbor Dr #8501
San Diego, CA 92103-8501
Phone
(858) 458-7362
Fax
(619) 471-9100
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 489948 CA Primary

Addresses

Primary practice location

200 West Arbor Dr #8501
San Diego, CA 92103-8501

Mailing address

200 West Arbor Drive # 8501
San Diego, CA 92103-8501
Phone (858) 458-7362

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

LicenseStateTypeSpecialty
489948CAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1831600683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WEST ARBOR DRIVE # 8501",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038501",
            "telephone_number": "858-458-7362",
            "fax_number": "619-471-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST ARBOR DR #8501",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038501",
            "telephone_number": "858-458-7362",
            "fax_number": "619-471-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIMLIM",
        "first_name": "LUDIVICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "489948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.