Active NPI
Aileen C Tangonan Macandrew, MSN NP
- Nurse Practitioner
- Encino, CA
National Provider Identifier
1780881482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 15854
- Practice address
- 15503 Ventura Blvd Ste 150
Encino, CA 91436-3115 - Phone
- (818) 995-8044
- Fax
- (818) 995-8007
- NPI assigned
- Jun 27, 2007
- Last updated
- Apr 24, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 15854 | CA | Primary |
| Hematology & Oncology Physician | 207RH0003X | 15854 | CA |
Addresses
Primary practice location
15503 Ventura Blvd Ste 150
Encino, CA 91436-3115
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
2020 Santa Monica Blvd
Suite 600
Santa Monica, CA 90404-2023
Phone (310) 633-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15854 | Other | CA | NURSE PRACTIONER LICENSE |
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, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15854 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCLA Medical Group | Hematology & Oncology | Past | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Interoperability endpoints
- amacandrew17385@direct.uclahealth.org
Organizations & group practices 3
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.
-
dba UCLA Dept of Medicine
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
-
dba UCLA West Valley Medical Center
- General Acute Care Hospital
- West Hills, CA
- NPI 1801653969
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Santa MonicaUCLAMC and Orthopedic Hospital
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
dba Ronald Reagan UCLA Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1780881482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15503 VENTURA BLVD STE 150",
"city": "ENCINO",
"state": "CA",
"postal_code": "914363115",
"telephone_number": "818-995-8044",
"fax_number": "818-995-8007"
}
],
"practiceLocations": [
{
"address_1": "2020 Santa Monica Blvd",
"address_2": "Suite 600",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904042023",
"country_code": "US",
"telephone_number": "310-633-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANGONAN MACANDREW",
"first_name": "AILEEN",
"middle_name": "C",
"credential": "MSN NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "15854",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "15854",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTIONER LICENSE",
"identifier": "15854",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.