GENESIS CALLEJAS-MIR NP
NPI 1013675370
Nurse Practitioner - Family in Santa Rosa, CA

Active since December 03, 2021
1501 MENDOCINO AVE, SANTA ROSA, CA 95401(707) 527-4445 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2026, Apr 14, 2022, Feb 23, 2022 and 1 more (4 updates tracked since 2021).

About Genesis Callejas-mir Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS CALLEJAS-MIR NP (NPI 1013675370) is an individual family provider in Santa Rosa, California, licensed in California (95018148) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1013675370
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGENESIS CALLEJAS-MIRCredential: NP
Location Address1501 MENDOCINO AVESanta Rosa, CA 95401-4332
Mailing Address1501 Mendocino AveSanta Rosa, CA 95401-4395 · (707) 527-4445 · Fax (888) 213-0302
Sole ProprietorNo
Enumeration DateDecember 3, 2021
Last NPPES UpdateApril 23, 20264 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1013675370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95018148
1501 MENDOCINO AVE, Santa Rosa, CA 95401

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Student Health)
1501 MENDOCINO AVE
SANTA ROSA, CA 95401
Specialist/Technologist (Athletic Trainer)
1501 MENDOCINO AVE
SANTA ROSA, CA 95401
Nurse Practitioner (Family)
1501 MENDOCINO AVE
SANTA ROSA, CA 95401
Nurse Practitioner (Family)
1501 MENDOCINO AVE
SANTA ROSA, CA 95401
Nurse Practitioner (Family)
1501 MENDOCINO AVE
SANTA ROSA, CA 95401
Specialist/Technologist (Athletic Trainer)
1501 MENDOCINO AVE
SANTA ROSA, CA 95401
Nurse Practitioner (Family)
1501 MENDOCINO AVE
SANTA ROSA, CA 95401
Health Educator
1501 MENDOCINO AVE
SANTA ROSA, CA 95401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Callejas-mir's NPI number?

The NPI number for Genesis Callejas-mir is 1013675370. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Where is Genesis Callejas-mir located?

Genesis Callejas-mir practices at 1501 Mendocino Ave, Santa Rosa, CA 95401. The listed phone number is (707) 527-4445.

What is Genesis Callejas-mir's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Genesis Callejas-mir was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.