Active NPI
Maan Bunagan
- Licensed Vocational Nurse
- Elk Grove, CA
National Provider Identifier
1043873169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 240326
- Practice address
- 5520 Laguna Park Dr
Elk Grove, CA 95758-5343 - Phone
- (650) 452-3488
- NPI assigned
- Apr 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 240326 | CA | Primary |
Addresses
Primary practice location
5520 Laguna Park Dr
Elk Grove, CA 95758-5343
Mailing address
5520 Laguna Park Dr
Elk Grove, CA 95758-5343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240326 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bella Nirvana Center, Inc. | Current | Accepting new patients | |
| Vasanthi Krishna MD PC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1043873169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 LAGUNA PARK DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957585343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 LAGUNA PARK DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957585343",
"telephone_number": "650-452-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNAGAN",
"first_name": "MAAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "240326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.