Organization Active NPI

Holistical Primary Care and Advanced Nursing Services, Inc.

  • Family Nurse Practitioner
  • Canoga Park, CA
National Provider Identifier
1821806233
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HOLISTICAL PRIMARY CARE AND ADVANCED NURSING SERVICES, INC.
Practice address
6911 Topanga Canyon Blvd Ste 206
Canoga Park, CA 91303-2369
Phone
(323) 362-7767
NPI assigned
Dec 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Olga ShnaiderNPI 1972381226
Title
Ceo
Phone
(323) 362-7767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6911 Topanga Canyon Blvd Ste 206
Canoga Park, CA 91303-2369

Mailing address

PO Box 4187
West Hills, CA 91308-4187
Phone (323) 362-7767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250224000509 CA Part B Supplier - Clinic/Group Practice 4183144017 Receives reassigned benefits from 1 practitioner
Practice locations: Canoga Park, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2323774Holistical Primary Care and Advanced Nursing6911 Topanga Canyon Blvd, Suite 206, Canoga Park, CA 91303Certificate of waiverMay 12, 2027

National Provider Directory

National Provider Directory

Locations

6911 Topanga Canyon Blvd
Ste 206
Canoga Park, CA 91303
Phone (323) 362-7767

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1821806233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4187",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913084187",
            "telephone_number": "323-362-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 TOPANGA CANYON BLVD STE 206",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032369",
            "telephone_number": "323-362-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTICAL PRIMARY CARE AND ADVANCED NURSING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "SHNAIDER",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-362-7767"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.