Individual provider Active NPI

Oksana Pradun, FNP

  • Family Nurse Practitioner
  • Chino, CA
National Provider Identifier
1518493733
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003102 Issued in CA
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

Updated by the provider on Nov 15, 2021

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 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

LicenseStateTypeSpecialty
95003102CAMDFamily 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.

Verify at the official NPI Registry.