Individual provider Active NPI

Anna Kayani, AGNP-BC

  • Nurse Practitioner
  • Chino, CA
National Provider Identifier
1649793068
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95015396 Issued in CA
Practice address
5353 G St
Chino, CA 91710-5249
Phone
(626) 408-5927
NPI assigned
Jul 18, 2017
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200928002893 CA Practitioner - Nurse Practitioner 7012277478 Reassigns benefits to 1 organization

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
Huntington Specialist and Nursing CorporationGroup PAC ID 8820399264, 11 clinicians

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

LicenseStateTypeSpecialty
95015396CAMDNurse Practitioner
26NJ00785200NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services Nurse Practitioner CurrentSince May 29, 2021 Accepting new patients
Huntington Specialist & Nursing Corporation CurrentSince Sep 22, 2020 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.

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

Verify at the official NPI Registry.