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

MS. Tania Kasandra Huezoaguilar, FNP-DNP

Individual provider Nurse Practitioner · NPI 1639886161

MS. Tania Kasandra Huezoaguilar, FNP-DNP is a Nurse Practitioner in San Diego, California. Qualified in 2021, 5 years ago. Practices with Reznik Medical Group, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

4077 Fifth Ave
San Diego, CA 92103-2105
Phone: (619) 251-4024
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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 95022003 (CA)

Record details

NPI number1639886161
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-DNP
Sole proprietorNo
NPI enumeratedNovember 3, 2022
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Reznik Medical Group — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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