Active NPI
Angelina Cardenas
- Student in an Organized Health Care Education/Training Program
- San Dimas, CA
National Provider Identifier
1851648745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 762 Cypress St
San Dimas, CA 91773-3505 - Phone
- (909) 599-1227
- NPI assigned
- Aug 9, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
762 Cypress St
San Dimas, CA 91773-3505
Mailing address
762 Cypress St
San Dimas, CA 91773-3505
Phone (909) 599-1227
Other practice location 1
2502 E. Huntington Dr.
Duarte, CA 91010
Phone (626) 263-9133
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1851648745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "762 CYPRESS ST",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917733505",
"telephone_number": "909-599-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "762 CYPRESS ST",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917733505",
"telephone_number": "909-599-1227"
}
],
"practiceLocations": [
{
"address_1": "2502 E. Huntington Dr.",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "91010",
"country_code": "US",
"telephone_number": "626-263-9133",
"fax_number": "626-288-8903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDENAS",
"first_name": "ANGELINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.