Individual provider Active NPI

Ana Sayuri Beltran de Gelera, FNP-BC

  • Family Nurse Practitioner
  • Stanton, CA
National Provider Identifier
1730951419
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025580 Issued in CA
Practice address
12362 Beach Blvd Ste 10
Stanton, CA 90680-3944
Phone
(714) 248-9500
NPI assigned
Oct 25, 2023
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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 95025580 CA Primary

Addresses

Primary practice location

12362 Beach Blvd Ste 10
Stanton, CA 90680-3944

Mailing address

2137 W Maxzim Ave
Fullerton, CA 92833-4430
Phone (562) 253-2975

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
I20240424003313 CA Practitioner - Nurse Practitioner 2062852007 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Livingstone Community Development Corporation CurrentSince Mar 20, 2024 Accepting new patients
Livingstone Community Development Corporation CurrentSince Mar 20, 2024 Accepting new patients

Locations

12362 Beach Blvd
Ste 10
Stanton, CA 90680
Phone (714) 248-9500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1730951419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 W MAXZIM AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334430",
            "telephone_number": "562-253-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12362 BEACH BLVD STE 10",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803944",
            "telephone_number": "714-248-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELERA",
        "first_name": "ANA SAYURI",
        "middle_name": "BELTRAN DE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, CA

Sources for this page

Verify at the official NPI Registry.