Individual provider Active NPI

Armando Canlas

  • Nurse Practitioner
  • Huntington Park, CA
National Provider Identifier
1356134803
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F05250165 Issued in CA
Practice address
6816 Pacific Blvd Ste 210
Huntington Park, CA 90255-4654
Phone
(818) 754-7986
NPI assigned
May 27, 2025
Last updated
May 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F05250165 CA Primary

Addresses

Primary practice location

6816 Pacific Blvd Ste 210
Huntington Park, CA 90255-4654

Mailing address

1017 E Garfield Ave
Glendale, CA 91205-2910

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250903001236 CA Practitioner - Nurse Practitioner 5496156721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ae Professional Medical Group CorporationGroup PAC ID 8628579380, 2 clinicians

Practice addresses (Care Compare)

Manhattan Beach, CA 90266
Phone (818) 754-7986

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F05250165CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ae Professional Medical Group Corporation CurrentSince Jul 16, 2025 Accepting new patients
A&E Professional Medical Group and Nursing Corporation Nurse Practitioner CurrentSince Sep 28, 2022 Accepting new patients
Perennial Hospice Care LLC PastSince Apr 2, 2020 Accepting new patients

Locations

6816 Pacific Blvd
Ste 210
Huntington Park, CA 90255
Phone (714) 779-8329

1600 Rosecrans Ave
Bldg 7
Manhattan Beach, CA 90266
Phone (310) 321-7818

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1356134803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 E GARFIELD AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 PACIFIC BLVD STE 210",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554654",
            "telephone_number": "818-754-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANLAS",
        "first_name": "ARMANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "F05250165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.