Active NPI
Anna Kayani, AGNP-BC
- Nurse Practitioner
- Chino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95015396
- Practice address
- 5353 G St
Chino, CA 91710-5249 - Phone
- (626) 408-5927
- NPI assigned
- Jul 18, 2017
- Last updated
- Sep 18, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00785200 | NJ | |
| Nurse Practitioner | 363L00000X | 95015396 | CA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 95015396 | CA | |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ00785200 | NJ |
Addresses
Primary practice location
5353 G St
Chino, CA 91710-5249
Mailing address
517 S Myrtle Ave
Ste 101
Monrovia, CA 91016-6100
Phone (626) 408-5927
Other practice location 1
245 Union Ave Ste 1A
Bridgewater, NJ 08807-3064
Phone (908) 864-4027
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5353 G St
Chino, CA 91710-5249
Phone (626) 408-5927
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95015396 | CA | MD | Nurse Practitioner |
| 26NJ00785200 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Primary Care Services | Nurse Practitioner | Current | Accepting new patients |
| Huntington Specialist & Nursing Corporation | Current | Accepting new patients |
Locations
5353 G St
Chino, CA 91710
Phone (626) 335-1919
517 S Myrtle Ave
Ste 101
Monrovia, CA 91016
Phone (626) 358-0322
4619 Rosemead Blvd
Rosemead, CA 91770
Phone (626) 286-1191
1130 US Highway 202
Ste E5
Raritan, NJ 08869
Phone (908) 393-4740
3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Monrovia, CA
- NPI 1912378324
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1265037501
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1649793068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 S MYRTLE AVE",
"address_2": "STE 101",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910166100",
"telephone_number": "626-408-5927",
"fax_number": "626-358-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 G ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917105249",
"telephone_number": "626-408-5927"
}
],
"practiceLocations": [
{
"address_1": "245 Union Ave Ste 1A",
"address_purpose": "LOCATION",
"city": "Bridgewater",
"state": "NJ",
"postal_code": "088073064",
"country_code": "US",
"telephone_number": "908-864-4027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAYANI",
"first_name": "ANNA",
"credential": "AGNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00785200",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95015396",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "95015396",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ00785200",
"primary": false
}
],
"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 Sep 18, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.