Individual provider Active NPI

Maryjoan Yambao Pineda, FNP-C

  • Family Nurse Practitioner
  • Tarzana, CA
National Provider Identifier
1407556277
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023224 Issued in CA
Practice address
5620 Wilbur Ave Ste 200
Tarzana, CA 91356-1309
Phone
(818) 345-2323
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023224 CA Primary

Addresses

Primary practice location

5620 Wilbur Ave Ste 200
Tarzana, CA 91356-1309

Mailing address

27304 Leighton LN
Santa Clarita, CA 91350-8574
Phone (818) 731-7189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95023224CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laurence M. Silverstein, M.D., Inc Current Accepting new patients

Locations

5620 Wilbur Ave
Ste 200
Tarzana, CA 91356
Phone (818) 345-0601

Interoperability endpoints

  • Direct secure messaging: maryjoan.pineda@9308965502980.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1407556277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27304 LEIGHTON LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913508574",
            "telephone_number": "818-731-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE STE 200",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561309",
            "telephone_number": "818-345-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "MARYJOAN",
        "middle_name": "YAMBAO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.