Individual provider Active NPI

Cherry Patricia Thangaraj, FNP-C

  • Family Nurse Practitioner
  • Fontana, CA
National Provider Identifier
1003584087
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08210811 Issued in CA
Practice address
7965 Sierra Ave
Fontana, CA 92336-3329
Phone
(909) 356-4459
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 F08210811 CA Primary

Addresses

Primary practice location

7965 Sierra Ave
Fontana, CA 92336-3329

Mailing address

240 Hastings St
Redlands, CA 92373-5013
Phone (909) 841-7810

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
I20211008000045 CA Practitioner - Nurse Practitioner 3577961341 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08210811CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cajon Medical Group PC CurrentSince Mar 1, 2024 Accepting new patients
Cajon Medical Group, PC CurrentSince Mar 1, 2024 Accepting new patients
Cajon Medical Group PC Current Accepting new patients
San Marcos Medical Group Inc CurrentSince Aug 2, 2021 Accepting new patients

Locations

7965 Sierra Ave
Fontana, CA 92336
Phone (909) 356-4459

14980 Summit Ave
Ste 230
Fontana, CA 92336
Phone (909) 803-1160

7965 Sierra Ave
Ste E
Fontana, CA 92336
Phone (909) 356-4459

162 N Santa Fe St
Hemet, CA 92543
Phone (951) 506-9522

23100 Eucalyptus Ave
Ste D
Moreno Valley, CA 92553
Phone (619) 881-4516

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

1815 W Redlands Blvd
Redlands, CA 92373

7576 Sterling Ave
Ste Cd
San Bernardino, CA 92410
Phone (909) 381-8983

2372 Sterling Ave
Sn Bernrdno, CA 92404
Phone (909) 422-8029

742 W Highland Ave
Sn Bernrdno, CA 92405
Phone (909) 881-7320

Interoperability endpoints

  • Direct secure messaging: cherry.thangaraj.p1@direct.metro.nextgenshare.com

Organizations & group practices 4

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1003584087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HASTINGS ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735013",
            "telephone_number": "909-841-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7965 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363329",
            "telephone_number": "909-356-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGARAJ",
        "first_name": "CHERRY",
        "middle_name": "PATRICIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F08210811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.