Andrea Banouvong

Nurse Practitioner · San Lorenzo, CA

Call (510) 407-0749 Directions

At a glance

927 Via Honda, San Lorenzo, CA 94580-2815

NPPES record updated May 29, 2020. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Medicare & insurance

Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.

How to check your coverage

Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.

Check the official Medicare directory ↗

Practice location

927 Via Honda
San Lorenzo, CA 94580-2815
REPORTED BACKGROUND

Education & affiliations

Medical / professional school
University Of California, San Francisco School Of Medicine
Graduation year
2019
CMS specialties
Nurse Practitioner

CMS reports telehealth services for this clinician. Confirm current services and availability with the practice.

Practice groups

Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.

Source: CMS National Downloadable File · Published Oct 15, 2026.

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PUBLISHED MEDICARE ACTIVITY

Procedures in the public data

Reported activity can help you ask more informed questions about a practice’s services.

No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.

CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology

Source: CMS Utilization Data · Published Oct 15, 2026.

Service-mix comparison is unavailable for this NPI in the imported Medicare service file.

PAYMENT TRANSPARENCY

Industry-reported general payments

No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.

Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.

Professional details: NPI, taxonomy & registry record
NPI1073137634
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Registry details

Primary taxonomy
Nurse Practitioner
Taxonomy code
363L00000X
Enumeration date
May 29, 2020
Record updated
May 29, 2020
More registry details
Provider type
Individual · Type 1

Reported taxonomies and licenses

Specialty details in registry

363LA2100X

License reported: 95013507 CA

Nurse Practitioner

363L00000X · Primary

License reported: 95013507 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

927 Via Honda
San Lorenzo, CA 94580-2815
Phone
(510) 407-0749
Mailing address
927 VIA HONDA

SAN LORENZO, CA 945802815
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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