Individual provider Active NPI

Namrata Nicole Sihotang, NP

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1003458209
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95012671 Issued in CA
Practice address
19330 Jesse LN Ste 100
Riverside, CA 92508-5077
Phone
(844) 827-8000
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95012671 CA Primary

Addresses

Primary practice location

19330 Jesse LN Ste 100
Riverside, CA 92508-5077

Mailing address

19330 Jesse LN Ste 100
Riverside, CA 92508-5077
Phone (844) 827-8000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191218003258 CA Practitioner - Nurse Practitioner 6800220187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as group
Quality
82.43
Promoting interoperability
100
Improvement activities
40
Cost
65.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95012671CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Nov 17, 2022 Accepting new patients
Ucr Health - Psychiatry CurrentSince Nov 17, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Dec 16, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Dec 16, 2019 Accepting new patients

Locations

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

24785 Stewart St
Ste 111
Loma Linda, CA 92350
Phone (909) 558-4594

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

3390 University Ave
Ste 1
Riverside, CA 92501
Phone (951) 827-7793

19330 Jesse Ln
Ste 100
Riverside, CA 92508
Phone (844) 827-8000

3390 University Ave
Ste 100
Riverside, CA 92501
Phone (844) 827-8000

Interoperability endpoints

  • Direct secure messaging: nsihotang11174@direct.llu.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1003458209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19330 JESSE LN STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085077",
            "telephone_number": "844-827-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19330 JESSE LN STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085077",
            "telephone_number": "844-827-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIHOTANG",
        "first_name": "NAMRATA",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95012671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.