GEREINE MAE CONDINO DATAN
NPI 1215537543
Nurse Practitioner in Gardena, CA

Q: What is Gereine Mae Datan's NPI number?

The NPI number for Gereine Mae Datan is 1215537543. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Q: What is Gereine Mae Datan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Gereine Mae Datan was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2020

500 W 190 ST, GARDENA, CA 90248(714) 452-1961 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Gereine Mae Condino Datan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEREINE MAE CONDINO DATAN (NPI 1215537543) is an individual nurse practitioner in Gardena, California, licensed in California (F08201140) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1215537543

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameGEREINE MAE CONDINO DATAN

Location Address500 W 190 STGardena, CA 90248

Mailing Address25612 Barton Rd # 290Loma Linda, CA 92354-3110

Phone(714) 452-1961

Sole ProprietorYes

Enumeration DateOctober 27, 2020

NPPES CertifiedOctober 26, 2020

✔ NPI 1215537543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · F08201140

Definition

(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.

500 W 190 ST, Gardena, CA 90248

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gereine Mae Datan's NPI number?

The NPI number for Gereine Mae Datan is 1215537543. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Gereine Mae Datan located?

Gereine Mae Datan practices at 500 W 190 St, Gardena, CA 90248. The listed phone number is (714) 452-1961.

What is Gereine Mae Datan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Gereine Mae Datan was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.