Active NPI
Joselyn Arandia Deculing, NURSE PRACTITIONER
- Nurse Practitioner
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 23622
- Practice address
- 1234 McHenry Ave
Modesto, CA 95350-5373 - Phone
- (209) 544-2554
- NPI assigned
- Nov 26, 2013
- Last updated
- Dec 10, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 23622 | CA | |
| Nurse Practitioner | 363L00000X | 23622 | CA | Primary |
Addresses
Primary practice location
1234 McHenry Ave
Modesto, CA 95350-5373
Mailing address
1409 Lecourbe CT
Modesto, CA 95356-8905
Phone (209) 596-4679
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
600 Walnut Woods CT
Modesto, CA 95356-9656
Phone (209) 872-4323
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 17.82 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 59.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23622 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Physician Inc. | Current | Accepting new patients | |
| Caremore Health Plan | Past | Accepting new patients | |
| Caremore Health Plan | Past | Accepting new patients |
Locations
4568 Feather River Dr
Ste D
Stockton, CA 95219
Phone (209) 395-2360
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Modesto, CA
- NPI 1699288993
-
- Family Medicine Physician
- Stockton, CA
- NPI 1730661083
-
- Family Nurse Practitioner
- Modesto, CA
- NPI 1750755476
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Castro Valley, CA
- NPI 1588262547
-
dba St. Rose Hospital
- General Acute Care Hospital
- Hayward, CA
- NPI 1942298153
-
- Home Health Agency
- Stockton, CA
- NPI 1538507587
-
- Home Health Agency
- Stockton, CA
- NPI 1952855447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1992135081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 LECOURBE CT",
"city": "MODESTO",
"state": "CA",
"postal_code": "953568905",
"telephone_number": "209-596-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 MCHENRY AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505373",
"telephone_number": "209-544-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECULING",
"first_name": "JOSELYN",
"middle_name": "ARANDIA",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-26",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "CA",
"license": "23622",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "23622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.