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KELLY BANUELOS
NPI 1497247043
Licensed Vocational Nurse in Tarzana, CA

Active since May 30, 2018
18646 OXNARD ST, TARZANA, CA 91356(818) 996-1051 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Banuelos NPPES

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

KELLY BANUELOS (NPI 1497247043) is an individual licensed vocational nurse in Tarzana, California, licensed in California (221369) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1497247043
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKELLY BANUELOS
Location Address18646 OXNARD STTarzana, CA 91356-1411
Mailing Address18646 Oxnard StTarzana, CA 91356-1411 · (818) 996-1051
Phone(818) 996-1051
Sole ProprietorYes
Enumeration DateMay 30, 2018
✔ NPI 1497247043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 221369
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
18646 OXNARD ST, Tarzana, CA 91356
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Other Identifiers 1

Other221369CA · Licensed Vocational Nurse

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA KATHERINE MALEC RN
Registered Nurse (Case Management)
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
NICOLE MARIAN JOHNSTONE RADT
Counselor (Addiction (Substance Use Disorder))
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 654-3950
ARTURO VARGAS
Peer Specialist
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
DAVID JEROME FISCHER
Peer Specialist
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
HILDA LOPEZ
Case Manager/Care Coordinator
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 654-3850
GREGORY PAUL WALSH
Counselor (Addiction (Substance Use Disorder))
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
DAVID HEISERMAN
Counselor (Addiction (Substance Use Disorder))
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (747) 224-0384
JOSHUA KELLY
Student in an Organized Health Care Education/Training Program
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (859) 779-2349

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 Kelly Banuelos's NPI number?

The NPI number for Kelly Banuelos is 1497247043. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Kelly Banuelos located?

Kelly Banuelos practices at 18646 Oxnard St, Tarzana, CA 91356. The listed phone number is (818) 996-1051.

What is Kelly Banuelos's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kelly Banuelos was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.