Minerva Banzali Sansano, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

6030903740 Issued in CA

Practice address

24562 Dardania Ave
Mission Viejo, CA 92691-4623

Phone

(949) 716-9222

Fax

(949) 742-6355

NPI assigned

Apr 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• A Serene Senior Living LLC

  • Assisted Living Facility
  • Mission Viejo, CA
  • NPI 1902650732
  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1174377477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WILLOWBROOK LN",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885551",
            "telephone_number": "949-295-6854",
            "fax_number": "949-742-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24562 DARDANIA AVE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914623",
            "telephone_number": "949-716-9222",
            "fax_number": "949-742-6355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22952 Council Bluffs Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926302925",
            "country_code": "US",
            "telephone_number": "949-600-7757",
            "fax_number": "949-742-6355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANSANO",
        "first_name": "MINERVA",
        "middle_name": "BANZALI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "6030903740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nohemy Sanchez
• Sanctuary of Transformation LLC
• Christiana Hyo Jin Sanders, LMFT
• Stephen Jeffrey Sanders, AU.D.
• Sandler Nurse Practitioner Services
• Nathan Allen Santibanez, PMHNP
• Michael Steven Santillan, PA-C, CAQ-PSYCH
• Michael J Santoro, M.D.
• Sanghee Ko Santoro
• John William Santos, P.T.

• Administrator Registered Nurse in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Administrator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.