Individual provider Active NPI

Angelyn Cardenas, FNP

  • Family Nurse Practitioner
  • Roseville, CA
National Provider Identifier
1982010492
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000896 Issued in CA
Practice address
3001 Douglas Blvd
Suite 150
Roseville, CA 95661-3851
Phone
(916) 241-9844
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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 95000896 CA Primary

Addresses

Primary practice location

3001 Douglas Blvd
Suite 150
Roseville, CA 95661-3851

Mailing address

3001 Douglas Blvd
Suite 150
Roseville, CA 95661-3851

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
I20150425000149 CA Practitioner - Nurse Practitioner 5092034058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Veterans Home of California 25 clinicians

Practice addresses (Care Compare)

100 California Dr
Yountville, CA 94599-1411
Phone (707) 944-4506

Hospital & facility affiliations

  • Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Home of California Current Accepting new patients
Community Health Centers of America CurrentSince Feb 17, 2024 Accepting new patients
Veterans Home of California CurrentSince Jan 3, 2018 Accepting new patients
Veterans Home of California CurrentSince Jan 3, 2018 Accepting new patients
Community Health Centers of America CurrentSince Feb 17, 2024 Accepting new patients
Capital Medical Extended Care Past Accepting new patients
Chandan DS Cheema MD Inc PastSince May 1, 2007 Accepting new patients

Locations

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212

1227 O St
Rm 402
Sacramento, CA 95814

220 California Dr
Ste 3E
Yountville, CA 94599
Phone (707) 944-4506

120 California Dr
Yountville, CA 94599
Phone (707) 944-4506

220 California Dr
Yountville, CA 94599
Phone (707) 944-4382

100 California Dr
Yountville, CA 94599
Phone (707) 944-4506

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19797/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1982010492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 DOUGLAS BLVD",
            "address_2": "SUITE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DOUGLAS BLVD",
            "address_2": "SUITE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613851",
            "telephone_number": "916-241-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "ANGELYN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.