Healthcare Provider Details

I. General information

NPI: 1881101590
Provider Name (Legal Business Name): IOANA CARANICA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2018
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W JANSS RD
THOUSAND OAKS CA
91360-1847
US

IV. Provider business mailing address

290 W AVENIDA DE LAS FLORES
THOUSAND OAKS CA
91360-1803
US

V. Phone/Fax

Practice location:
  • Phone: 805-813-9566
  • Fax: 805-813-9566
Mailing address:
  • Phone: 805-446-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95007886
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: