MRS. PHYLLIS A ANGELO CPNP
NPI 1538234489
Nurse Practitioner - Pediatrics in Santa Rosa, CA

NPI Status: Active since November 22, 2006

Contact Information

3925 OLD REDWOOD HWY
SANTA ROSA, CA
ZIP 95403
Phone: (707) 566-5327
Fax: (707) 566-5292

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  • Individual
  • Female
  • Nurse Practitioner
  • Pediatrics

About PHYLLIS ANGELO

This page provides the complete NPI Profile along with additional information for Phyllis Angelo, a provider established in Santa Rosa, California with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1538234489 assigned on November 2006. The practitioner's primary taxonomy code is 363LP0200X with license number 282719 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1538234489
Provider Name
MRS. PHYLLIS A ANGELO CPNP
Gender
Female
Entity Type
Individual
Location Address
3925 OLD REDWOOD HWY SANTA ROSA, CA 95403
Location Phone
(707) 566-5327
Location Fax
(707) 566-5292
Mailing Address
3925 OLD REDWOOD HWY SANTA ROSA, CA 95403
Mailing Phone
(707) 571-4033
Mailing Fax
(707) 566-5292
Is Sole Proprietor?
No
Enumeration Date
11-22-2006
Last Update Date
07-08-2007
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A nurse practitioner (NP) like Phyllis Angelo is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
282719
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P17832MEDICARE UPIN (02)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538234489
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2568438416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 4 + 3 + 8 + 4 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1538234489 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073607438DR. JEFF MILLER MD
Individual
Pediatrics3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5312
1720137003DR. ROBERT JOHN KEARNS O.D.
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5231
1548313638 VALERIE ROGERS HANSEN
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5222
1689728388 IRENE ELIZABETH HOVLAND O.D.
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5222
1497892574DR. MICHAELMICHAEL C LEE O.D.
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5222
1285165902 TAGHRID ABUELQASEM RPH
Individual
Pharmacist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5306
1922530153 BHUMIKA BHAKTA
Individual
Pharmacist3925 OLD REDWOOD HWY MOB 4 PHARMACY
SANTA ROSA, CA 95403
(707) 566-5306
1982752721KAISER FOUNDATION HEALTH PLAN INC
Organization
Pharmacy (Community/Retail Pharmacy)3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5349
1033266218 LUCILLE HESTER BRONGERSMA O.D.
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5297
1114064367DR. JANE H LEE-KOIDA O.D.
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5342
1144327248DR. CHRISTINE W KU M.D.
Individual
Specialist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5452
1437211380MS. BONNIE OLSEN MCDONELL NP
Individual
Nurse Practitioner3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5262
1548343668 KATHLEEN A HAAS PNP
Individual
Nurse Practitioner (Pediatrics)3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5326
1649259615 KRISTIN RENEE STEUERLE MD
Individual
Pediatrics3925 OLD REDWOOD HWY STEIN BUILDING, KAISER PERMANENTE PEDIATRICS
SANTA ROSA, CA 95403
(707) 571-4033
1699831800MR. JAMES ALEXANDER OROSZ
Individual
Optometrist3925 OLD REDWOOD HWY THE PERMANENTE MEDICAL GROUP, INC.
SANTA ROSA, CA 95403
(707) 566-5222
1710014725 ADRIENNE M SILVER
Individual
Pediatrics3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5303
1881936276 GARY YIP MD
Individual
Ophthalmology3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-7073
1922395979DR. VANESSA LEE DESOUSA D.O.
Individual
Pediatrics3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 393-4033
1609042811DR. ERIC KEONI VIERRA O.D.
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-6060
1780737809 ROSE KAW O.D.
Individual
Optometrist3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
(707) 566-5222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538234489, enumerated in the NPI registry as an "individual" on November 22, 2006

The provider is located at 3925 Old Redwood Hwy Santa Rosa, Ca 95403 and the phone number is (707) 566-5327

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.