Individual provider Active NPI

Analiza Baldonado, DNP, FNP-C

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1982060174
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003960 Issued in CA
Practice address
2436 Futamase CT
San Jose, CA 95111-1006
Phone
(408) 623-4821
Fax
(408) 293-5859
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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 95003960 CA Primary

Addresses

Primary practice location

2436 Futamase CT
San Jose, CA 95111-1006

Mailing address

2436 Futamase CT
San Jose, CA 95111-1006
Phone (408) 623-4821

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
I20170503002440 CA Practitioner - Nurse Practitioner 6002193885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

7475 Camino Arroyo
Gilroy, CA 95020-7348
Phone (408) 885-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Feb 25, 2017 Accepting new patients
County of Santa Clara CurrentSince Feb 25, 2017 Accepting new patients
County of Santa Clara Current Accepting new patients

Locations

143 N Main St
Milpitas, CA 95035
Phone (408) 885-1234

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

Interoperability endpoints

  • Direct secure messaging: abaldonado4673@santaclaravalley.direct-ci.net

Organizations & group practices 3

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 1

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": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1982060174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 FUTAMASE CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111006",
            "telephone_number": "408-623-4821",
            "fax_number": "408-293-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 FUTAMASE CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111006",
            "telephone_number": "408-623-4821",
            "fax_number": "408-293-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDONADO",
        "first_name": "ANALIZA",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.