Maria Llanillo Davis, N.P.

Individual provider Active NPI Gerontology Nurse Practitioner · Sepulveda, CA

NPI 1912949017 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1912949017
Entity type
Individual (NPI type 1)
Primary specialty
Gerontology Nurse Practitioner 363LG0600X
License
476414 (CA)
Practice address
16111 Plummer St
Sepulveda, CA 91343-2036
Phone
(818) 891-7711
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 476414 CA Yes

Addresses

Primary practice location

16111 Plummer St
Sepulveda, CA 91343-2036

Mailing address

16111 Plummer St
Sepulveda, CA 91343-2036
Phone (818) 891-7711

Other providers in Sepulveda, CA

All providers in Sepulveda, CA · Gerontology Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.