Andrew Cordero Banuelos, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95253137 Issued in CA

Practice address

1050 Fulton Ave Ste 235
Sacramento, CA 95825-4299

Phone

(916) 614-9539

Fax

(916) 614-9542

NPI assigned

Oct 27, 2021

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1225792047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 FULTON AVE STE 235",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254299",
            "telephone_number": "916-614-9539",
            "fax_number": "916-614-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 FULTON AVE STE 235",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254299",
            "telephone_number": "916-614-9539",
            "fax_number": "916-614-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANUELOS",
        "first_name": "ANDREW",
        "middle_name": "CORDERO",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95253137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Bansuelo
• Giwania Wrenola Banta, LVN
• Bantique Chiropractic, a Professional Corporation
• Carmelo Dichosa Bantique Jr., D.C.
• Melvin Bantum Jr.
• Jasmine Banuelos
• Miriam Banuelos
• Rebecca Banuelos, RN
• Shirley M Banzon, CASE MANAGER
• Brandon Baptiste, COUNSELOR

• Registered Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.