Individual provider · Type 1 NPI

Vanessa Carlos, NP

Nurse Practitioner · San Fernando, CA

NPI number 1093683286 Active

Practice location

241 N. Maclay Ave, Suite 100
San Fernando, CA 91340-2909

Mailing address

3833 Sourdough Rd
Acton, CA 93510-1225

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN95161183 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1093683286

Vanessa Carlos, NP's National Provider Identifier is 1093683286, issued on Oct 28, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Fernando, CA. The record was last updated on Oct 28, 2025.