Candy Nordahl, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

489682 Issued in CA

Practice address

4440 Brockton Ave Ste 200
Riverside, CA 92501-4026

Phone

(951) 275-0988

NPI assigned

May 9, 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 names 1

• Candette Nordahl Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Sorin Eremia M D Inc a Prof Corp

  • Dermatology Physician
  • Riverside, CA
  • NPI 1659472025
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497969562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14971 WESTGATE DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360894",
            "telephone_number": "909-355-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 BROCKTON AVE STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014026",
            "telephone_number": "951-275-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDAHL",
        "first_name": "CANDY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "489682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDETTE",
            "last_name": "NORDAHL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Ann Nonnemacher
• Nazia Noor
• Mona Noori Koopaei
• Nicholas Noorideen
• Zoraida V Noratto-White, LMFT
• Conrad Nordquist, MFT
• Nordstrom Inc & Subsidiaries
• Benjamin Noriega
• Emilia Felicitas Noriega
• Jennifer Noriega, AMFT

• Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• 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.