Candace C An, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

779066 Issued in CA

Practice address

160 S 7TH Ave
La Puente, CA 91744

Phone

(626) 961-8971

NPI assigned

Aug 9, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942589882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S 7TH AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "91744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S 7TH AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "91744",
            "telephone_number": "626-961-8971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1436 Goodrich Blvd",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "CA",
            "postal_code": "900225111",
            "country_code": "US",
            "telephone_number": "323-725-1337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9862 Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928412726",
            "country_code": "US",
            "telephone_number": "626-810-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AN",
        "first_name": "CANDACE",
        "middle_name": "C",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "779066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in La Puente, CA
• Providers in La Puente, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.