Individual provider Active NPI

Dani Achi, NP

  • Nurse Practitioner
  • Upland, CA
National Provider Identifier
1033853072
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95018334 Issued in CA
Practice address
1655 N Mountain Ave Ste 113
Upland, CA 91784-1779
Phone
(909) 377-0030
NPI assigned
Apr 26, 2022
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95018334 CA Primary

Addresses

Primary practice location

1655 N Mountain Ave Ste 113
Upland, CA 91784-1779

Mailing address

7217 Enclave Dr
Eastvale, CA 92880-3827
Phone (626) 500-7250

Other practice location 1

10601 Church St Ste 105
Rancho Cucamonga, CA 91730-6894
Phone (909) 989-7100

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL refinedbydanimichael@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95018334CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1033853072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 ENCLAVE DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803827",
            "telephone_number": "626-500-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N MOUNTAIN AVE STE 113",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841779",
            "telephone_number": "909-377-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10601 Church St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917306894",
            "country_code": "US",
            "telephone_number": "909-989-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHI",
        "first_name": "DANI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95018334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "refinedbydanimichael@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1655 N Mountain Ave Ste 113",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917841779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.