Lana Renae Rhodes, APRN,BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

510880 Issued in CA

Practice address

4234 Riverwalk Parkway Suite 230
Pacific Pulmonary Medical Group
Riverside, CA 92505

Phone

(951) 781-3672

Fax

(951) 781-0365

NPI assigned

Jan 30, 2008

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 names 1

• Mrs. Lana Renae West Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Pacific Professional Surgical Group Inc

  • Trauma Surgery Physician
  • Riverside, CA
  • NPI 1578341608
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1457538662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PARKWAY SUITE 230",
            "address_2": "PACIFIC PULMONARY MEDICAL GROUP",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92505",
            "telephone_number": "951-781-3672",
            "fax_number": "951-781-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PARKWAY SUITE 230",
            "address_2": "PACIFIC PULMONARY MEDICAL GROUP",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92505",
            "telephone_number": "951-781-3672",
            "fax_number": "951-781-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "LANA",
        "middle_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "APRN,BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "510880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "WEST",
            "middle_name": "RENAE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mali M Reynoso
• Natalie Reynoso
• Reza Rajabi DMD,Inc.
• Samantha Reza
• Melika Rezaei
• Amber Leann Rhoe, D.C.
• Rhoka LLC
• Tanawan Riangwiwat
• Wirley Ribeiro
• Austin Rice, MD

• Adult Health Nurse Practitioner in Riverside, CA
• Providers in Riverside, 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 Aug 12, 2015; 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.