Individual provider Active NPI

Alicia Calzada-Gonzalez, FNP

  • Family Nurse Practitioner
  • Norwalk, CA
National Provider Identifier
1881106268
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007602 Issued in CA
Practice address
13307 San Antonio Dr
Norwalk, CA 90650-2970
Phone
(562) 807-1877
NPI assigned
Oct 25, 2017
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007602 CA Primary

Addresses

Primary practice location

13307 San Antonio Dr
Norwalk, CA 90650-2970

Mailing address

13307 San Antonio Dr
Norwalk, CA 90650-2970
Phone (562) 807-1877

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211026001715 CA Practitioner - Nurse Practitioner 9032507918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Specialist & Nursing Corporation CurrentSince Aug 27, 2021 Accepting new patients
Daniel Uribe MD a Professional Corporation PastSince Jan 5, 2016 Accepting new patients

Locations

5353 G St
Chino, CA 91710
Phone (626) 335-1919

517 S Myrtle Ave
Ste 101
Monrovia, CA 91016
Phone (626) 358-0322

4619 Rosemead Blvd
Rosemead, CA 91770
Phone (626) 286-1191

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGJEAD/Endpoint/AGJEAD

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, 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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1881106268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13307 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502970",
            "telephone_number": "562-807-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13307 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502970",
            "telephone_number": "562-807-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALZADA-GONZALEZ",
        "first_name": "ALICIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.