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LIAN CANON NP
NPI 1639995285
Nurse Practitioner - Primary Care in Sherman Oaks, CA

Active since November 27, 2024PECOS Enrolled
14108 MAGNOLIA BLVD, SHERMAN OAKS, CA 91423(818) 465-3060 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lian Canon Np NPPES

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

LIAN CANON NP (NPI 1639995285) is an individual primary care provider in Sherman Oaks, California, licensed in California (95033105) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639995285
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLIAN CANONCredential: NP
Location Address14108 MAGNOLIA BLVDSherman Oaks, CA 91423-1119
Mailing Address13138 Magnolia BlvdSherman Oaks, CA 91423-1529 · (818) 689-3121
Phone(818) 465-3060
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1639995285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95033105
14108 MAGNOLIA BLVD, Sherman Oaks, CA 91423
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lian Canon Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789175266
PECOS Enrollment IDI20251112002475
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lian Canon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Innovative Medical Solutions Inc A Medical Group
4.0 mi
Adolescent Medicine
14860 ROSCOE BLVD STE 200
Panorama City, CA 91402
  • Reassigned Medicare billing, California enrollment
  • 95 clinicians in this Medicare group
NPI 1972624955 (310) 553-5203

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ORYAN CANON
Nurse Practitioner (Primary Care)
14108 MAGNOLIA BLVD
SHERMAN OAKS, CA 91423
Los Angeles County (818) 465-3060

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 Lian Canon's NPI number?

The NPI number for Lian Canon is 1639995285. It was assigned to this individual provider in the NPPES registry on November 27, 2024.

Where is Lian Canon located?

Lian Canon practices at 14108 Magnolia Blvd, Sherman Oaks, CA 91423. The listed phone number is (818) 465-3060.

What is Lian Canon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Lian Canon enrolled in Medicare?

Yes. Lian Canon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lian Canon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lian Canon reassigns Medicare benefits to Innovative Medical Solutions Inc A Medical Group (Panorama City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lian Canon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lian Canon was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.