Andrea Banouvong
NPI 1073137634 · Nurse Practitioner · San Lorenzo, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrea Banouvong is a Nurse Practitioner provider in San Lorenzo, CA (NPI 1073137634).
Provider details
- NPI number
- 1073137634
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95013507 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-29
- Last updated
- 2020-05-29
- Certified
- 2020-05-29
Frequently asked questions
- What is Andrea Banouvong's NPI number?
- Andrea Banouvong's National Provider Identifier (NPI) is 1073137634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Banouvong's specialty?
- Andrea Banouvong is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Andrea Banouvong located?
- Andrea Banouvong's practice location on file with NPPES is 927 Via Honda, San Lorenzo, CA 94580-2815.
- What is Andrea Banouvong's phone number?
- The practice phone number listed in the NPPES registry for Andrea Banouvong is (510) 407-0749.
- Does Andrea Banouvong accept Medicare?
- Andrea Banouvong is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrea Banouvong's NPI active?
- Yes — Andrea Banouvong's NPI (1073137634) is active in the NPPES registry as of the last update on 2020-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.