Ana Sofia Quezada Candara, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN829855 Issued in CA

Practice address

11201 Benton St
Loma Linda, CA 92357-1000

Phone

(909) 434-4565

NPI assigned

Nov 13, 2017

Last updated

Nov 13, 2017By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1508379538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W PENNSYLVANIA AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742040",
            "telephone_number": "909-434-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 BENTON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923571000",
            "telephone_number": "909-434-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDARA",
        "first_name": "ANA",
        "middle_name": "SOFIA QUEZADA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN829855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "RN829855",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Scott Cameron, N.P.
• Alexander Denny Campbell
• Amber Campbell
• Jessica Campos-Ahmadi, DNP
• Marissa Darlene Campos, CPHT
• David Keith Canete
• Damien Cannon, MD
• Jordan Brianne Canson, AUD
• Kayla Christine Canteras
• Jane Mieko-Hirokane Cantos

• Registered Nurse in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.