Active NPI
Julieta Scherezada Cano, CCT
- Clinical Medical Laboratory
- Van Nuys, CA
National Provider Identifier
1306260856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 00073956
- Practice address
- 14624 Sherman Way
Suite 406
Van Nuys, CA 91405-2241 - Phone
- (818) 989-9991
- Fax
- (818) 373-7383
- NPI assigned
- Feb 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 00073956 | CA | Primary |
Addresses
Primary practice location
14624 Sherman Way
Suite 406
Van Nuys, CA 91405-2241
Mailing address
14624 Sherman Way
Suite 406
Van Nuys, CA 91405-2241
Phone (818) 989-9991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00073956 | CA | MD | Clinical Medical Laboratory |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1306260856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14624 SHERMAN WAY",
"address_2": "SUITE 406",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052241",
"telephone_number": "818-989-9991",
"fax_number": "818-373-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14624 SHERMAN WAY",
"address_2": "SUITE 406",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052241",
"telephone_number": "818-989-9991",
"fax_number": "818-373-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANO",
"first_name": "JULIETA",
"middle_name": "SCHEREZADA",
"credential": "CCT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-04",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "00073956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.