Healthcare Provider Details

I. General information

NPI: 1740763036
Provider Name (Legal Business Name): ANISBEL HORNIA SILVA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2018
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4149 TWEEDY BLVD
SOUTH GATE CA
90280-6167
US

IV. Provider business mailing address

6605 JASPER ST
RANCHO CUCAMONGA CA
91701-4551
US

V. Phone/Fax

Practice location:
  • Phone: 213-483-3600
  • Fax: 213-483-4555
Mailing address:
  • Phone: 818-967-4274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9417317
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95010910
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberNP95010910
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: