Jeanette Lunasin Astilla, MSN, AGNP-C, PHN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95015567 Issued in CA

Practice address

8201 Canoga Ave # 9173
Canoga Park, CA 91304-4106

Phone

(818) 427-0422

Fax

(747) 202-0106

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tarzana Treatment Centers IncGroup PAC ID 5991897845, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jastilla347281@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tarzana Treatment Centers, Inc.

  • Community/Behavioral Health Agency
  • Lancaster, CA
  • NPI 1346842093
  Medicare reassignment Care Compare group NPD
• Tarzana Treatment Centers, Inc

  • Substance Abuse Rehabilitation Facility
  • Lancaster, CA
  • NPI 1285175315
  NPD
• Tarzana Treatment Centers, Inc.

  • Multi-Specialty Clinic/Center
  • Palmdale, CA
  • NPI 1619702099
  NPD

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1245837913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9173",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913090173",
            "telephone_number": "818-427-0422",
            "fax_number": "747-202-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 CANOGA AVE # 9173",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913044106",
            "telephone_number": "818-427-0422",
            "fax_number": "747-202-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTILLA",
        "first_name": "JEANETTE",
        "middle_name": "LUNASIN",
        "name_prefix": "Mrs.",
        "credential": "MSN, AGNP-C, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prince Asiedu
• Arian Asistin
• Sandra Askew-Williams
• Khosrovadukht Aslanyan
• Ida Assadi
• Rachel Atiemo Obeng
• Jerry Atkins
• Avakian, Inc. (West Park Pharmacy)
• Gabriela Avalos
• Aventine Home Health Care Inc

• Nurse Practitioner in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.