Cennyana Boon, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95024454 Issued in CA

Practice address

11364 Havstad Dr
Loma Linda, CA 92354-4149

Phone

(310) 467-9661

NPI assigned

Jun 30, 2023

Last updated

Jun 30, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1295412260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11364 HAVSTAD DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544149",
            "telephone_number": "310-467-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11364 HAVSTAD DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544149",
            "telephone_number": "310-467-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOON",
        "first_name": "CENNYANA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woo Bin Bong
• Kristine Bonnick
• Bonnie Marie Nutrition
• Michelle Justine Corpuz Bonus, BSN, RN, CPHON
• Linninea Boom
• Juan Carlos Bordes, OTR/L
• Christopher Bordey, RD
• Lauren Rachel Chang Borecky, MD
• Michael Coleman Borecky, MD
• Thomas Borecky, MD

• Family Nurse Practitioner in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.