Cazandra Ruvalcaba, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95021732 Issued in CA

Practice address

8900 Beverly Blvd FL 3
West Hollywood, CA 90048-2438

Phone

(310) 423-2641

NPI assigned

Mar 14, 2023

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

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1356042576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 BEVERLY BLVD FL 3",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900482438",
            "telephone_number": "818-376-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 BEVERLY BLVD FL 3",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900482438",
            "telephone_number": "310-423-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUVALCABA",
        "first_name": "CAZANDRA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95021732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parker McWilliams Rushworth, MD
• Russian Jewish Community Cultural Center
• Joanne K. L. Rutgers, M.D.
• Emily Ann Ruttledge
• Alexandra Rutwind, D.M.D, MS
• Ryan Perumpail MD Inc
• Ryan Stybel OD Inc.
• Katerina Ryndenkova
• S D Walker Medical Inc.
• S&R Kniter Dental Corporation

• Acute Care Nurse Practitioner in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.