Individual provider Active NPI

Lian Canon, NP

  • Primary Care Nurse Practitioner
  • Sherman Oaks, CA
National Provider Identifier
1639995285
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95033105 Issued in CA
Practice address
14108 Magnolia Blvd
Sherman Oaks, CA 91423-1119
Phone
(818) 465-3060
NPI assigned
Nov 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95033105 CA Primary

Addresses

Primary practice location

14108 Magnolia Blvd
Sherman Oaks, CA 91423-1119

Mailing address

13138 Magnolia Blvd
Sherman Oaks, CA 91423-1529
Phone (818) 689-3121

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251112002475 CA Practitioner - Nurse Practitioner 4789175266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13138 Magnolia Blvd
Sherman Oaks, CA 91423-1529

8780 19TH St
Alta Loma, CA 91701-4608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95033105CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Medical Solutions Inc a Medical Group CurrentSince Aug 31, 2025 Accepting new patients

Locations

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

2080 Century Park E
Ste 707
Los Angeles, CA 90067
Phone (310) 553-0123

14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1639995285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13138 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231529",
            "telephone_number": "818-689-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14108 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231119",
            "telephone_number": "818-465-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANON",
        "first_name": "LIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95033105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.