Joshua James Callan

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

40 Hob Rd
Los Lunas, NM 87031-7601

Phone

(505) 903-4411

NPI assigned

Nov 8, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Youth Health Associates, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Los Lunas, NM
  • NPI 1760026942
  NPD

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1992340400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 N 200 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107043",
            "telephone_number": "801-815-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HOB RD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317601",
            "telephone_number": "505-903-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAN",
        "first_name": "JOSHUA",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Renee Burks
• Mathew Burriel, FNP-BC
• Cara Jean Burrola
• Jaidyn Skye Bustos
• Gayle Byer-McCant
• Camel Rock Enterprises Inc.
• London Avery Campbell
• Elizabet Campos
• Marianne Candelaria
• Pete M Candelaria, MSW

• Community Health Worker in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Community Health Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.