Anita Paulette Canavaras, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

293534 Issued in CA

Practice address

3005 E Palmdale Blvd
Suite 4
Palmdale, CA 93550-1831

Phone

(661) 575-0009

NPI assigned

May 30, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Antelope Valley Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Palmdale, CA
  • NPI 1720537863
  NPD (past)
• Palmdale Women and Children'S Center

  • Gynecology Physician
  • Palmdale, CA
  • NPI 1801013768
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457552945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "LAKE HUGHES",
            "state": "CA",
            "postal_code": "935320350",
            "telephone_number": "661-724-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 E PALMDALE BLVD",
            "address_2": "SUITE 4",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935501831",
            "telephone_number": "661-575-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAVARAS",
        "first_name": "ANITA",
        "middle_name": "PAULETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "293534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "293534",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP CERTIFICATE",
            "identifier": "3680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Camberos
• Ruwanthi Samaranayake Campano, M.D
• Flory Elizabeth Campos
• Maritza Campos
• Katrina Mae Ricafrente Canas, PSY.D.
• Mario Cantero
• Edgar Michael Cantila
• Katie Capps
• Ashley Marie Carbajal
• Brenda Carcamo-Almendarez

• Obstetrics & Gynecology Nurse Practitioner in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Obstetrics & Gynecology 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.