Mr Antonio Cardona Jr, NP - Medicare Nurse Practitioner in Granada Hills, CA

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Mr Antonio Cardona Jr, NP is a medicare enrolled "Nurse Practitioner" in Granada Hills, California. His current practice location is 15625 Odyssey Dr Unit 48, Granada Hills, California. You can reach out to his office (for appointments etc.) via phone at (818) 741-5683.

Mr Antonio Cardona Jr is licensed to practice in California (license number 95021581) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205552072.

Contact Information

Mr Antonio Cardona Jr, NP
15625 Odyssey Dr Unit 48,
Granada Hills, CA 91344-3283
(818) 741-5683
Not Available

Map and Direction




Provider's Profile

Full NameMr Antonio Cardona Jr
GenderMale
SpecialityNurse Practitioner
Location15625 Odyssey Dr Unit 48, Granada Hills, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205552072
  • Provider Enumeration Date: 10/13/2022
  • Last Update Date: 10/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2769842947
  • Enrollment ID: I20230719002962

Medical Identifiers

Medical identifiers for Mr Antonio Cardona Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205552072NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 95021581 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Antonio Cardona Jr allows following entities to bill medicare on his behalf.
Entity NameValley Presbyterian Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033133103
PECOS PAC ID: 1951308105
Enrollment ID: O20061031000344
Entity NameHollywood Presbyterian Emergency Medical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972826931
PECOS PAC ID: 7618006263
Enrollment ID: O20100520000454
Entity NameAe Urgent Care - Van Nuys
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265172266
PECOS PAC ID: 0749651750
Enrollment ID: O20230130000346
Entity NameRestore Mobile Wound Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780417790
PECOS PAC ID: 2365973427
Enrollment ID: O20241001002003

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Antonio Cardona Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Antonio Cardona Jr, NP
10316 Sepulveda Blvd # 344,
Mission Hills, CA 91345-2422

Ph: (818) 741-5683		Mr Antonio Cardona Jr, NP
15625 Odyssey Dr Unit 48,
Granada Hills, CA 91344-3283

Ph: (818) 741-5683

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.