Tanalie Banawa, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN246806 Issued in CA

Practice address

981 S Wilton PL Apt 3
Los Angeles, CA 90019-2140

Phone

(949) 456-0962

NPI assigned

Mar 10, 2011

Last updated

Nov 8, 2014By the provider in NPPES

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

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": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415404800000",
    "number": "1386942621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70324",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900700324",
            "telephone_number": "949-456-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 S WILTON PL APT 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192140",
            "telephone_number": "949-456-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAWA",
        "first_name": "TANALIE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2014-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN246806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LVN",
            "identifier": "LVN246806",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prajna Banan
• Pooya Banankhah, M.D.
• Einar Joshua Uniza Banares, MSN, RN, AGACNP-BC
• Vivian Caterio Banaria, D.M.D.
• Charles Joseph Banasky, DDS
• Melody Termechi Banayan, M.S
• Courtney Bancroft, M.S.
• Amanda Banda Raya, LCSW
• Juan Banda
• Natalie Gonzalez Banda

• Licensed Vocational Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2014; 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.