Individual provider Active NPI

Candida Montero Varela, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1467219048
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028984 Issued in CA
Practice address
1201 E Florence Ave
Los Angeles, CA 90001-2432
Phone
(323) 588-0084
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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 95028984 CA Primary

Addresses

Primary practice location

1201 E Florence Ave
Los Angeles, CA 90001-2432

Mailing address

11146 Leadwell St
Sun Valley, CA 91352-5048
Phone (323) 428-6688

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105001285 CA Practitioner - Family Practice 2365976966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cognacare Neurologic IncGroup PAC ID 4981125531, 17 clinicians

Practice addresses (Care Compare)

13118 Sherman Way
North Hollywood, CA 91605-4645
Phone (818) 308-6318

1451 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4056
Phone (818) 265-2245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95028984CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cognacare Neurologic, Inc CurrentSince Oct 1, 2025 Accepting new patients
Community Care Medical Center Inc. CurrentSince Sep 30, 2024 Accepting new patients
Valley Medical Clinic Inc PastSince Sep 30, 2024 Accepting new patients

Locations

1451 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 265-2245

13118 Sherman Way
North Hollywood, CA 91605
Phone (818) 255-5382

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: candida.montero.varela.1@27469.direct.athenahealth.com

Organizations & group practices 3

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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1467219048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11146 LEADWELL ST",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913525048",
            "telephone_number": "323-428-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900012432",
            "telephone_number": "323-588-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERO VARELA",
        "first_name": "CANDIDA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.