Ann Nicola-Jordan Cavanagh, FNP,PA-C

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

401219NP6265 Issued in CA

Practice address

5701 S. Hoover St.
Los Angeles, CA 90037

Phone

(323) 541-1400

Fax

(323) 541-1401

NPI assigned

Dec 1, 2006

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)

Enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962570861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W 40TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907317103",
            "telephone_number": "310-547-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 S. HOOVER ST.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90037",
            "telephone_number": "323-541-1400",
            "fax_number": "323-541-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAGH",
        "first_name": "ANN",
        "middle_name": "NICOLA-JORDAN",
        "name_prefix": "Ms.",
        "credential": "FNP,PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "401219NP6265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamika Leilani Causey
• Isabelle M Causley
• Slade Cavallaro
• Adam Frank Cavallero, M.D.
• Vincent Francesco Cavallino, MEDICAL STUDENT
• Lucia Cavanagh, PHD
• Grace Cavanaugh
• Emilio Cavazos-Escobar
• Sarah Cavazos
• Emily Cavell, PHD

• General Practice Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.