HAIDE LANDEROS (FNP) – Family Nurse Practitioner, NPI 1447537451

HAIDE LANDEROS (FNP) is a healthcare provider. based in Cerritos, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 21200 (CA). The NPI Number for HAIDE LANDEROS (FNP) is 1447537451

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
HAIDE LANDEROS (FNP)
NPI
1447537451
Phone
(866) 646-3553
Address
12900 PARK PLAZA DR
Enumeration Date
4 November 2011
Last Update Date
18 February 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
9498817883
Graduation Year
2011 (15 years ago)
PAC ID
9830481431
Group Practice PAC ID
7618364928
Professional Enrollment ID
I20240726000551
Address ID
CA926605553NE2001XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for HAIDE LANDEROS (FNP)

  • 12900 PARK PLAZA DR

    STE 150

    CERRITOS, CA 907039329

    Phone: (866) 646-3553

    Fax: (562) 622-2803

    Type: Mailing

  • 415 OLD NEWPORT BLVD STE 200

    NEWPORT BEACH, CA 926634252

    Phone: (949) 548-9611

    Fax: (949) 548-9958

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240726000551INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618364928View full group profile
NameSpecialtyState
Physician AssistantCA
Cardiovascular Disease (Cardiology), Internal MedicineCA

Reviews

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Frequently asked questions

What number should I use to identify HAIDE LANDEROS (FNP) for billing?
Administrative and clinical systems typically use NPI 1447537451 for HAIDE LANDEROS (FNP).
Should I treat HAIDE LANDEROS (FNP) as an active provider?
Patients and plans typically see HAIDE LANDEROS (FNP) as active in the national extract.
What type of care does HAIDE LANDEROS (FNP) provide?
HAIDE LANDEROS (FNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit HAIDE LANDEROS (FNP) in Cerritos, California?
For routing, start with Cerritos, California for HAIDE LANDEROS (FNP), then verify phone and hours locally.
Can I export HAIDE LANDEROS (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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