Individual provider Active NPI

Canybec Sulayman, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rancho Palos Verdes, CA
National Provider Identifier
1225868623
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
323197 Issued in AZ
Practice address
29000 S Western Ave Ste 205
Rancho Palos Verdes, CA 90275-0890
Phone
(310) 955-1041
NPI assigned
Aug 2, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X NP95031206 CA
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 95031206 CA
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 323197 AZ Primary
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083B0002X 95031206 CA

Addresses

Primary practice location

29000 S Western Ave Ste 205
Rancho Palos Verdes, CA 90275-0890

Mailing address

29000 S Western Ave Ste 205
Rancho Palos Verdes, CA 90275-0890
Phone (310) 955-1041

Other practice location 1

2451 E Baseline Rd Ste 310
Gilbert, AZ 85234-2465
Phone (480) 535-6455

Other practice location 2

220 Montgomery St Ste 600
San Francisco, CA 94104-3448
Phone (310) 955-1041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403002047 CA Practitioner - Nurse Practitioner 2163946880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Horizon Peak Health - Nursing CorpGroup PAC ID 1254855976, 2 clinicians

Practice addresses (Care Compare)

29000 S Western Ave
Suite 205
Rancho Palos Verdes, CA 90275-0890
Phone (310) 955-1041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95031206CAMDPsychiatry Physician
323197AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Peak Health - Nursing Corp Multi-Specialty CurrentSince Feb 13, 2025 Accepting new patients
Horizon Peak Health PLLC Multi-Specialty Current Accepting new patients
Blue Bell Management LLC Past Accepting new patients

Locations

16601 N 40th St
Ste 216
Phoenix, AZ 85032
Phone (480) 788-8466

3800 Wilshire Blvd
Ste 207A
Los Angeles, CA 90010
Phone (213) 373-4223

29000 S Western Ave
Ste 205
Rancho Palos Verdes, CA 90275
Phone (213) 948-8319

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1225868623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29000 S WESTERN AVE STE 205",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750890",
            "telephone_number": "310-955-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 S WESTERN AVE STE 205",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750890",
            "telephone_number": "310-955-1041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 E Baseline Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342465",
            "country_code": "US",
            "telephone_number": "480-535-6455",
            "fax_number": "480-535-6455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Montgomery St Ste 600",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941043448",
            "country_code": "US",
            "telephone_number": "310-955-1041",
            "fax_number": "310-955-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULAYMAN",
        "first_name": "CANYBEC",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-02",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "NP95031206",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95031206",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "323197",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "CA",
            "license": "95031206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

Verify at the official NPI Registry.