Raizza Queen Baniqued Acode, FNP-BC, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95032745 Issued in CA

Practice address

11633 Victory Blvd Ste 100
North Hollywood, CA 91606-3513

Phone

(888) 530-4415

Fax

(833) 471-5322

NPI assigned

Oct 31, 2024

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Gracelight Community Health

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1104075282
  Medicare reassignment NPD
• Gracelight Community Health

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1801967062
  NPD
• Medstat Inc

  • Family Medicine Physician
  • Port Hueneme, CA
  • NPI 1609362227
  NPD
• Luis M Blando MD Inc

  • Family Medicine Physician
  • Carson, CA
  • NPI 1578647269
  NPD (past)

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1245052018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 VICTORY BLVD STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063513",
            "telephone_number": "888-530-4415",
            "fax_number": "833-471-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 VICTORY BLVD STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063513",
            "telephone_number": "888-530-4415",
            "fax_number": "833-471-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACODE",
        "first_name": "RAIZZA QUEEN",
        "middle_name": "BANIQUED",
        "credential": "FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95032745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Stefanie Aceituno
• Anna Acerol
• Rosemarie Acevedo, D.D.S
• Stephanie Acevedo
• Niyanta Acharya, AMFT
• Alyssa Terese Acosta, RN, BSN, RD
• Activities for Retarded Children
• Mark William Acton, DO
• Yekeen Adagbada Jr.
• Elianora Georgia Adamian, LMFT

• Nurse Practitioner in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.