Myla Lara Natividad, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005029 Issued in CA

Practice address

26323 Old Anvil LN
Moreno Valley, CA 92555-2935

Phone

(951) 318-9011

NPI assigned

Oct 14, 2016

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mnatividad269650@direct.llu.edu

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1386195212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26323 OLD ANVIL LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552935",
            "telephone_number": "951-318-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26323 OLD ANVIL LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552935",
            "telephone_number": "951-318-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATIVIDAD",
        "first_name": "MYLA",
        "middle_name": "LARA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Narkaus
• Luqman Nasouf
• Brandon Lee Nathaniel, MD
• National Vision, Inc.
• National Vision, Inc.
• Arthur Natsume
• Alondra Joanna Nava
• Patricia Ann Nava, LMFT 156084
• Lianna Navar, MD
• Alex Jr Navarro

• Family Nurse Practitioner in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.