DIANA CANO (NPI# 1245487016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245487016 |
| Entity Type | Individual |
| Full Name | DIANA CANO |
| Credential | PA-C |
| Practice Address |
12021 S Wilmington Ave Los Angeles CA 90059 |
| Practice Telephone | 3106684506 |
| Practice Fax Number | 3107638909 |
| Mailing Telephone | 3106684506 |
| Mailing Fax Number | 3107638909 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA12509 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1285235069 | Diana Cano | Behavior Technician | 2115 W Crescent Ave Ste 244, Anaheim, CA 92801-3836 | 2020-11-06 |
| 1891338216 | Diana Cano | Nurse Practitioner | 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 | 2019-10-18 |
| Street Address |
12021 S WILMINGTON AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508936568 | Subramaniam Balasubramaniam | Surgery | 12021 S Wilmington Ave, Mlk Hospital, Los Angeles, CA 90059-3019 | 2006-11-08 |
| 1255732962 | Exodus Foundation | Community/Behavioral Health | 12021 S Wilmington Ave, 2nd Floor Ic1-ic7, Los Angeles, CA 90059-3019 | 2014-09-12 |
| 1366870941 | Exodus Foundation for Recovery | Community/Behavioral Health | 12021 S Wilmington Ave, Los Angeles, CA 90059-3019 | 2013-10-17 |
| 1750538914 | Deborah Christian | Physician Assistant | 12021 S Wilmington Ave, Los Angeles, CA 90059 | 2008-08-19 |
| 1528280419 | Marlon Butler | Physician Assistant | 12021 S Wilmington Ave, Los Angeles, CA 90059 | 2007-05-02 |
| 1235351107 | Marta L Hernandez | Obstetrics & Gynecology | 12021 S Wilmington Ave, Los Angeles, CA 90059 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| 1942738943 | Sophavy Suon | Physician Assistant | 11611 San Vicente Blvd Lbby Level, Los Angeles, CA 90049-5106 | 2017-06-02 |
| 1619429503 | Rachel Frankenthal | Physician Assistant | 200 Medical Plz Ste 220, Ucla Department of Obgyn, Los Angeles, CA 90095-0001 | 2016-10-26 |
| 1982152815 | Accessmed A Physician Assistant Professional Corporation | Physician Assistant | 1055 W 7th St Fl 33, Los Angeles, CA 90017-2577 | 2016-09-20 |
| 1043766363 | Amber Joy Rangel | Physician Assistant | 2523 Armacost Ave, Los Angeles, CA 90064-2715 | 2016-08-28 |
| 1184080459 | Doreen Yasharel | Physician Assistant | 824 S Wooster St Apt 306, Los Angeles, CA 90035-1745 | 2016-01-02 |
| 1649649443 | Thuy Vo | Physician Assistant | 5841 Bowcroft St, Unit 2, Los Angeles, CA 90016-4955 | 2015-09-22 |
| 1649655663 | Carlee Ettinger | Physician Assistant | 2751 Rinconia Dr, Los Angeles, CA 90068-2227 | 2015-07-21 |
| 1841681467 | Lauren Layson | Physician Assistant | 4049 Via Marisol, Los Angeles, CA 90042-5055 | 2015-02-18 |
| 1871981282 | Dianne Desiree Rivera Navoa | Physician Assistant | 8631 W 3rd St Ste 1035e, Los Angeles, CA 90048-5964 | 2015-01-07 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
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| 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.