Angelique Babette Carter, RN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP 22808 Issued in CA

Practice address

13768 Roswell Ave Ste 215
Chino, CA 91710-1407

Phone

(909) 325-2215

Fax

(888) 491-0615

NPI assigned

Mar 25, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bryan X Lee MD a Professional Medical CorporationGroup PAC ID 0941478960, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FCIGCA/Endpoint/FCIGCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bryan X Lee MD a Professional Medical Corporation

  • Interventional Pain Medicine Physician
  • Pomona, CA
  • NPI 1144526773
  Medicare reassignment Care Compare group
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1235283094
  Medicare reassignment NPD
• Karin C Li MD a Prof Med Corp

  • Internal Medicine Physician
  • Chino, CA
  • NPI 1801157896
  Medicare reassignment NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Norco, CA
  • NPI 1033488416
  NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Upland, CA
  • NPI 1174996318
  NPD
• 3E Pharmacy Inc

  • Community/Retail Pharmacy
  • Riverside, CA
  • NPI 1235628058
  NPD (past)
• Bahaa Girgis, M.D., Inc

  • Clinic/Center
  • Riverside, CA
  • NPI 1447301833
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1003158353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2240",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917882240",
            "telephone_number": "909-325-2215",
            "fax_number": "909-325-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE STE 215",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101407",
            "telephone_number": "909-325-2215",
            "fax_number": "888-491-0615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9194 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033872",
            "country_code": "US",
            "telephone_number": "951-352-2421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9194 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033872",
            "country_code": "US",
            "telephone_number": "951-352-2421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ANGELIQUE",
        "middle_name": "BABETTE",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN487261",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 22808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Carranza Jr., CCAPP CI28760120
• Peter Paul Carreon, FNP
• Martin Antonio Carrillo, M.D.
• Thomas L. Carrillo, PH.D.
• Stephanie A. Carson, LMFT
• Norman Sheridan Carter, DDS MS
• Gonzalo P Casilang Jr.
• Nathalie Elliette Castillo
• CDCR/Cim
• Renee Ceballos

• Family Nurse Practitioner in Chino, CA
• Providers in Chino, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.