Active NPI
Angelyn Cardenas, FNP
- Family Nurse Practitioner
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95000896
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
100 California Dr
Yountville, CA 94599-1411
Phone (707) 944-4506
Hospital & facility affiliations
- Adventist Health St Helena
- Providence Queen of the Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veterans Home of California | Current | Accepting new patients | |
| Community Health Centers of America | Current | Accepting new patients | |
| Veterans Home of California | Current | Accepting new patients | |
| Veterans Home of California | Current | Accepting new patients | |
| Community Health Centers of America | Current | Accepting new patients | |
| Capital Medical Extended Care | Past | Accepting new patients | |
| Chandan DS Cheema MD Inc | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Mariposa, CA
- NPI 1891207684
CA
-
- Skilled Nursing Facility
- Yountville, CA
- NPI 1104811751
-
- Federally Qualified Health Center (FQHC)
- Gustine, CA
- NPI 1245105733
-
- Skilled Nursing Facility
- Yountville, CA
- NPI 1477707396
-
- Skilled Nursing Facility
- Sacramento, CA
- NPI 1295131092
-
- Internal Medicine Physician
- Fair Oaks, CA
- NPI 1598965667
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Napa, CA
- NPI 1013080084
Hospital
-
- General Acute Care Hospital
- Napa, CA
- NPI 1235218785
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.