AUDREY REALEZA CANO (NPI# 1154987634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154987634 |
| Entity Type | Individual |
| Full Name | AUDREY REALEZA CANO |
| Credential | FNP-BC |
| Practice Address |
1223 16th St Ste 3100 Santa Monica CA 90404-1275 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 4242598791 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | NP95010935 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP95010935 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP95010935 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NP95010935 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1241 E Dyer Rd Ste 145, Santa Ana, CA 927055694 | 9495382073 | |
| 100 Ucla Medical Plaza Suite 310, Los Angeles, CA 900955694 | 4242598791 | |
| 120 S Spalding Dr Ste 401, Beverly Hills, CA 902121842 | 4242598791 |
| Street Address |
1223 16TH ST STE 3100 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598743700 | Amy M Kusske | Surgery | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2006-01-06 |
| 1639638968 | Angela Doan | Nurse Practitioner | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2019-03-16 |
| 1801295845 | Janelle E Smith | Dietitian, Registered | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2014-08-15 |
| 1467795377 | Benjamin Nulsen | Internal Medicine | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2013-03-28 |
| 1467727776 | Kara E Walter | Internal Medicine | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2012-03-20 |
| 1528298528 | Carl Nordstrom | Internal Medicine | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2009-07-23 |
| 1619146503 | Amy Ann Jacobson | Nurse Practitioner | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2008-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376071472 | Charmaine Bade | Nurse Practitioner | 1223 23rd St Apt A, Santa Monica, CA 90404-1323 | 2017-06-01 |
| 1275059131 | Ana Maricela Rocha | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-08-22 |
| 1831554682 | Brettney Daugherty | Nurse Practitioner | 1711 Ocean Park Blvd, Santa Monica, CA 90405-4901 | 2015-12-22 |
| 1306053038 | Amy Michelle Taylor Serafini | Nurse Practitioner | 2001 Santa Monica Blvd, Suite 360w, Santa Monica, CA 90404 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on AUDREY REALEZA CANO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.