Daniel Alejandro Canales, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95030411 Issued in CA

Practice address

1900 W Slauson Ave
Los Angeles, CA 90047-1129

Phone

(323) 377-7678

NPI assigned

Oct 19, 2021

Reactivated

Jul 8, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1639832322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 CROCKETT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900013524",
            "telephone_number": "323-378-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W SLAUSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900471129",
            "telephone_number": "323-377-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "DANIEL",
        "middle_name": "ALEJANDRO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "deactivation_date": "2024-06-12",
        "reactivation_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95257800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Canady
• Amy Guadalupe Canal, BA
• Cinzia Canale Fossa, M.A.
• Flor De Maria Canales Cucho
• Cecilia Canales, MD. MPH
• Dina Canales, M.S., CCC-SLP
• Keily Canales, BS
• Margarita Canales
• Valeria Canales
• Timothy Robert Canan, M.D.

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.