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Deactivated NPI 1285254151 Deactivated / Inactive NPI Female Practitioner

Ida Canlas , RN, LVN

Nurse Practitioner • La Verne, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ida Canlas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 21, 2020
NPI Deactivation Date June 20, 2022
Total Practice Duration ~2 Years of Practice (2020 – 2022)

Professional Overview & Biography Verified Profile Summary

Ida Canlas, RN, LVN was a registered Nurse Practitioner practicing in La Verne, CA. Throughout an active medical career spanning 2 years, Ida Canlas provided care at the practice location at 409 LUPINE PL until profile deactivation on 2022-06-20.

Practice Location & Contact Primary Location

Practice Address

409 Lupine Pl

La Verne, CA 917505734

Telephone 9099739221

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in La Verne, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
2 Specialists

Practicing in La Verne, CA (8378 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA VNH7280

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 20, 2022

Record deactivated on June 20, 2022

NPI Profile Active April 21, 2020

NPI status registered as active in NPPES database

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Updated Practice Location April 21, 2020

Registered at 409 LUPINE PL, LA VERNE, CA 917505734 (Tel: 9099739221)

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Updated Business Mailing Address April 21, 2020

Registered at 409 LUPINE PL, LA VERNE, CA 917505734 (Tel: 9099739221)

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Provider Name / Credentials Updated April 21, 2020

Recorded as IDA CANLAS, RN, LVN

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2020

Nurse Practitioner (License #VNH7280 in CA)

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Initial NPI Registration & Enumeration April 21, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285254151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2020
Last Update: April 21, 2020
Deactivation Date: June 20, 2022

Mailing Address

409 Lupine Pl

La Verne, CA 917505734

Phone: 9099739221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.