Individual provider Active NPI

Ana May Martin Cunanan

  • Registered Nurse
  • Vallejo, CA
National Provider Identifier
1861621401
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
693103 Issued in CA
Practice address
270 Paddlewheel Dr
Vallejo, CA 94591-7238
Phone
(310) 782-4845
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 693103 CA Primary
Registered Nurse 163W00000X 26NR12587300 NJ

Addresses

Primary practice location

270 Paddlewheel Dr
Vallejo, CA 94591-7238

Mailing address

270 Paddlewheel Dr
Vallejo, CA 94591-7238
Phone (310) 782-4845

Other names 1

  • Ana May May Martin Cunanan Professional name

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
693103CAMDRegistered Nurse
26NR12587300NJMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1861621401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PADDLEWHEEL DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917238",
            "telephone_number": "310-782-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PADDLEWHEEL DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917238",
            "telephone_number": "310-782-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNANAN",
        "first_name": "ANA MAY",
        "middle_name": "MARTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "693103",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR12587300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA MAY",
            "last_name": "CUNANAN",
            "middle_name": "MAY MARTIN",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.