Active NPI
Cherry Patricia Thangaraj, FNP-C
- Family Nurse Practitioner
- Fontana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F08210811
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F08210811 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cajon Medical Group PC | Current | Accepting new patients | |
| Cajon Medical Group, PC | Current | Accepting new patients | |
| Cajon Medical Group PC | Current | Accepting new patients | |
| San Marcos Medical Group Inc | Current | 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
- 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.
-
- Internal Medicine Physician
- Moreno Valley, CA
- NPI 1841844891
-
- Obstetrics & Gynecology Physician
- Fontana, CA
- NPI 1447446448
-
- Internal Medicine Physician
- Redlands, CA
- NPI 1326547183
-
- Internal Medicine Physician
- Temecula, CA
- NPI 1245118082
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.