IndividualActive
Annie Kanchanasuwan, RN, GNP, GCNS-BC
NPI 1609832385 · Gerontology Nurse Practitioner · Pasadena, CA
Provider details
- NPI number
- 1609832385
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, GNP, GCNS-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 15980 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
988 S Fair Oaks Ave
Pasadena, CA 91105-2626
Phone: (626) 799-4193
Street-level locationGet directions
Mailing address
3731 Revere Ave
Los Angeles, CA 90039-1818
Registry dates
- Enumerated
- 2006-04-22
- Last updated
- 2008-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.