Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aileen C Tangonan Macandrew, MSNNP

Individual provider Nurse Practitioner · NPI 1780881482

Aileen C Tangonan Macandrew, MSNNP is a Nurse Practitioner in Encino, California. Qualified in 2003, 23 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

15503 Ventura Blvd Ste 150
Encino, CA 91436-3115
Phone: (818) 995-8044
Fax: (818) 995-8007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 — (310) 633-8400

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 15854 (CA)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 15854 (CA)

Record details

NPI number1780881482
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNNP
Sole proprietorNo
NPI enumeratedJune 27, 2007
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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