Individual provider Active NPI

Gayana Chuklansev, FNP

  • Family Nurse Practitioner
  • West Covina, CA
National Provider Identifier
1467063214
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08200623 Issued in CA
Practice address
910 S Sunset Ave Ste 8
West Covina, CA 91790-3409
Phone
(626) 338-8407
NPI assigned
Aug 14, 2020
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 F08200623 CA Primary

Addresses

Primary practice location

910 S Sunset Ave Ste 8
West Covina, CA 91790-3409

Mailing address

818 W Cameron Ave
West Covina, CA 91790-4136
Phone (626) 337-6246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201231000544 CA Practitioner - Nurse Practitioner 5395158869 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Quality Medical Center IncGroup PAC ID 2264918895, 5 clinicians

Practice addresses (Care Compare)

519 S Victory Blvd
Burbank, CA 91502-2355
Phone (818) 861-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F08200623CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakshman D Makandura MD Inc CurrentSince Apr 27, 2025 Accepting new patients
Global Mobile Medical Alliances, Inc. CurrentSince Dec 14, 2020 Accepting new patients
Global Integrated Medical Group, Inc. CurrentSince Dec 14, 2020 Accepting new patients
Mobile Physicians Medical Allied Group Inc PastSince Oct 1, 2021 Accepting new patients

Locations

1535 W Merced Ave
Ste 201
West Covina, CA 91790
Phone (626) 337-6246

1535 W Merced Ave
Ste 202
West Covina, CA 91790
Phone (626) 337-6246

818 W Cameron Ave
West Covina, CA 91790
Phone (626) 264-8847

910 S Sunset Ave
Ste 8
West Covina, CA 91790
Phone (626) 338-8407

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1467063214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904136",
            "telephone_number": "626-337-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S SUNSET AVE STE 8",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903409",
            "telephone_number": "626-338-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKLANSEV",
        "first_name": "GAYANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F08200623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.