Active NPI
Oksana Pradun, FNP
- Family Nurse Practitioner
- Chino, CA
National Provider Identifier
1518493733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95003102
- Practice address
- 14504 Pipeline Ave
Chino, CA 91710-5634 - Phone
- (909) 606-1800
- NPI assigned
- May 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95003102 | CA | Primary |
Addresses
Primary practice location
14504 Pipeline Ave
Chino, CA 91710-5634
Mailing address
7290 Edinger Ave Unit 4140
Huntington Beach, CA 92647-0957
Phone (607) 760-0100
Other practice location 1
1303 Avocado Ave Ste 245
Newport Beach, CA 92660-7804
Phone (949) 760-1985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95003102 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1518493733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7290 EDINGER AVE UNIT 4140",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926470957",
"telephone_number": "607-760-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14504 PIPELINE AVE",
"city": "CHINO",
"state": "CA",
"postal_code": "917105634",
"telephone_number": "909-606-1800"
}
],
"practiceLocations": [
{
"address_1": "1303 Avocado Ave Ste 245",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926607804",
"country_code": "US",
"telephone_number": "949-760-1985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRADUN",
"first_name": "OKSANA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-08",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95003102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.