Healthcare Provider Details

I. General information

NPI: 1275496358
Provider Name (Legal Business Name): ASHLEY GREER CANO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 LOS PADRES BLVD
SANTA CLARA CA
95050-5130
US

IV. Provider business mailing address

865 LOS PADRES BLVD
SANTA CLARA CA
95050-5130
US

V. Phone/Fax

Practice location:
  • Phone: 408-423-1420
  • Fax:
Mailing address:
  • Phone: 408-423-1420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number843742
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: