Provider Demographics
NPI:1801936489
Name:COBIAN, ADRIANA (NP)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:COBIAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ADRIANA
Other - Middle Name:
Other - Last Name:LINARES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:732 MOTT ST STE 100-110
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-4237
Mailing Address - Country:US
Mailing Address - Phone:818-963-5690
Mailing Address - Fax:
Practice Address - Street 1:732 MOTT ST STE 100-110
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-4237
Practice Address - Country:US
Practice Address - Phone:818-963-5690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13857363L00000X
CANP13857363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1083624423Medicaid
CA1538130893Medicaid
CA1083624423OtherMEDICARE NGS
CA13857Medicaid
CARN474858Medicaid