Individual provider Active NPI

Ilsu Min Maslanka, NP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1689150096
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95008001 Issued in CA
Practice address
4811 Valdina Way
San Diego, CA 92124-2427
Phone
(316) 304-3580
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 NP95008001 CA Primary

Addresses

Primary practice location

4811 Valdina Way
San Diego, CA 92124-2427

Mailing address

4811 Valdina Way
San Diego, CA 92124-2427
Phone (316) 304-3580

Other practice location 1

15725 Pomerado Rd Ste 105
Poway, CA 92064-2057
Phone (858) 485-7246

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
NP95008001CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shafi Khalid MD PC Past Accepting new patients

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1689150096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 VALDINA WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242427",
            "telephone_number": "316-304-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 VALDINA WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242427",
            "telephone_number": "316-304-3580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15725 Pomerado Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642057",
            "country_code": "US",
            "telephone_number": "858-485-7246",
            "fax_number": "858-485-8676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASLANKA",
        "first_name": "ILSU",
        "middle_name": "MIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95008001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.