Nadia Heidi Blanco, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95017286 Issued in CA

Practice address

11946 Hawthorne Blvd
Hawthorne, CA 90250-3016

Phone

(310) 675-1136

NPI assigned

Jun 11, 2021

Last updated

Jan 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Nadia Heidi Heranadez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD
• Centro Medico Inc.

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  • NPI 1497776322

  Multi-Specialty

  NPD
• Doctors on the Go Professional Group Corp

  • Nurse Practitioner
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  • NPI 1609403807

  Multi-Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1013585587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E BACH ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452417",
            "telephone_number": "424-477-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11946 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503016",
            "telephone_number": "310-675-1136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3325 Wilshire Blvd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900101733",
            "country_code": "US",
            "telephone_number": "213-465-2643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1521 E Bach St",
            "address_purpose": "LOCATION",
            "city": "Carson",
            "state": "CA",
            "postal_code": "907452417",
            "country_code": "US",
            "telephone_number": "424-477-4857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "NADIA",
        "middle_name": "HEIDI",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017286",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADIA",
            "last_name": "HERANADEZ",
            "middle_name": "HEIDI",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aarti Bhardwaj, D.D.S.
• BHS Pacifica House
• Nikolin Spiro Bimbli, D.D.S
• Ashley Bishop, M.A. CCC-SLP
• Angela Denise Bivens
• Aspaltha Carl Bledman
• Blessy Giron, Licensed Clinical Social Worker
• Blue Water Endeavors, Inc.
• Anieca Marie Bluit, MEDICAL ASSISTANT
• Tomiko Bobo

• Family Nurse Practitioner in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.