Provider Demographics
NPI:1740763036
Name:HORNIA SILVA, ANISBEL (ARNP)
Entity Type:Individual
Prefix:
First Name:ANISBEL
Middle Name:
Last Name:HORNIA SILVA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6605 JASPER ST
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-4551
Mailing Address - Country:US
Mailing Address - Phone:818-967-4274
Mailing Address - Fax:
Practice Address - Street 1:4149 TWEEDY BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-6167
Practice Address - Country:US
Practice Address - Phone:213-483-3600
Practice Address - Fax:213-483-4555
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9417317363LF0000X
CA95010910363LP0808X
CANP95010910208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health