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

Daisy Banuelos

Individual provider Nurse Practitioner · NPI 1932883030

Daisy Banuelos is a Nurse Practitioner in Los Angeles, California. Qualified in 2022, 4 years ago. Practices with Mood Clinical, P. C., a 100-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

1605 Eastlake Ave
Los Angeles, CA 90033-1009
Phone: (323) 226-8611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP95025288 (CA)

Record details

NPI number1932883030
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023
Mailing address2648 E Workman Ave # 3001-304, West Covina, CA 91791-1604

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mood Clinical, P. C. — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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