Ederlina Pecson Landeta, MN, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN343438 Issued in CA

Practice address

18111 Nordhoff St
Northridge, CA 91330-8270

Phone

(818) 677-3666

Fax

(818) 677-6750

NPI assigned

Jul 26, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366465759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 ALONZO AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161004",
            "telephone_number": "818-345-4263",
            "fax_number": "818-677-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 NORDHOFF ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913308270",
            "telephone_number": "818-677-3666",
            "fax_number": "818-677-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDETA",
        "first_name": "EDERLINA",
        "middle_name": "PECSON",
        "name_prefix": "Ms.",
        "credential": "MN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "RN343438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL /FPACT",
            "identifier": "GR0094830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeside Medical Associates, a Medical Group, Inc.
• Marufa Farooque Lala
• Raymond Lam, M.D.
• Stephanie Lam, BA
• Elizabeth Mairla Landaverde, NURSE PRACTITIONER
• Alicia E Lane, FNP-BC, BSN, RN
• Lila Claire Lang
• Barbara Lynne Lange, SLP
• Terri Lee Langfus, M.F.T.
• Lissa Lankin

• Adult Health Nurse Practitioner in Northridge, CA
• Providers in Northridge, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.