Individual provider Active NPI

Maria Lourdes Bernaldez, GNP-BC

  • Gerontology Nurse Practitioner
  • North Hills, CA
National Provider Identifier
1184867244
Registry record updated Apr 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
18446 Issued in CA
Practice address
10051 Gaynor Ave
North Hills, CA 91343-1606
Phone
(310) 803-7990
NPI assigned
Apr 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 18446 CA Primary
Gerontology Clinical Nurse Specialist 364SG0600X 3027 CA

Addresses

Primary practice location

10051 Gaynor Ave
North Hills, CA 91343-1606

Mailing address

10051 Gaynor Ave
North Hills, CA 91343-1606
Phone (310) 803-7990

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

LicenseStateTypeSpecialty
18446CAMDChiropractor
3027CAMDGerontology Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1240099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240099200000",
    "number": "1184867244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 GAYNOR AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913431606",
            "telephone_number": "310-803-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 GAYNOR AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913431606",
            "telephone_number": "310-803-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNALDEZ",
        "first_name": "MARIA",
        "middle_name": "LOURDES",
        "credential": "GNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-19",
        "last_updated": "2009-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "18446",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "CA",
            "license": "3027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2009; 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.