Nico Cacho Buan-Lagazo, RN, CNS

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

5067 Issued in CA

Practice address

4131 Bellwether Way
Sacramento, CA 95835-2706

Phone

(916) 835-6393

NPI assigned

Mar 11, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1346049376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 BELLWETHER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352706",
            "telephone_number": "916-835-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 BELLWETHER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352706",
            "telephone_number": "916-835-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUAN-LAGAZO",
        "first_name": "NICO",
        "middle_name": "CACHO",
        "credential": "RN, CNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "CA",
            "license": "5067",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CA",
            "license": "5067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Bryant, STUDENT INTERN
• Diane Christine Bryson
• Kayla Bryson
• Kevonna Bryson
• Naticia Marie Bryson, RRW
• Shylo Kristeen Buathier
• Bubble Non Emergency Transport
• Edward Bubienko, M.D.,PH.D.
• Brianne M Bubnes
• David Bubniak

• Gerontology Clinical Nurse Specialist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Gerontology Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.