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MR. ANTONIO CARDONA JR. NP
NPI 1205552072
Nurse Practitioner in Granada Hills, CA

Active since October 13, 2022PECOS Enrolled
15625 ODYSSEY DR UNIT 48, GRANADA HILLS, CA 91344(818) 741-5683 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Antonio Cardona Jr. Np NPPES

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

MR. ANTONIO CARDONA JR. NP (NPI 1205552072) is an individual nurse practitioner in Granada Hills, California, licensed in California (95021581) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205552072
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. ANTONIO CARDONA JR.Credential: NP
Location Address15625 ODYSSEY DR UNIT 48Granada Hills, CA 91344-3283
Mailing Address10316 Sepulveda Blvd # 344Mission Hills, CA 91345-2422 · (818) 741-5683
Phone(818) 741-5683
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
✔ NPI 1205552072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95021581
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
15625 ODYSSEY DR UNIT 48, Granada Hills, CA 91344
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Antonio Cardona Jr. Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769842947
PECOS Enrollment IDI20230719002962
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Antonio Cardona's NPI number?

The NPI number for Antonio Cardona is 1205552072. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Where is Antonio Cardona located?

Antonio Cardona practices at 15625 Odyssey Dr Unit 48, Granada Hills, CA 91344. The listed phone number is (818) 741-5683.

What is Antonio Cardona's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Antonio Cardona enrolled in Medicare?

Yes. Antonio Cardona is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antonio Cardona was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.