Individual provider Active NPI

Aundrea Madrid

  • Health & Wellness Coach
  • Cherry Valley, CA
National Provider Identifier
1043040769
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
350 W Brookside Ave
Cherry Valley, CA 92223-4073
Phone
(951) 845-1631
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA
Health & Wellness Coach 171400000X CA Primary

Addresses

Primary practice location

350 W Brookside Ave
Cherry Valley, CA 92223-4073

Mailing address

10191 Ralph Rd
Cherry Valley, CA 92223-4211
Phone (951) 322-5242

Other practice location 1

11799 Sebastian Way Ste 103
Rancho Cucamonga, CA 91730-0708
Phone (909) 353-7547

Other names 1

  • Aundrea Kostelecky Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Unified School District PastSince Jul 28, 2024 Accepting new patients

Organizations & group practices 1

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1043040769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10191 RALPH RD",
            "city": "CHERRY VALLEY",
            "state": "CA",
            "postal_code": "922234211",
            "telephone_number": "951-322-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W BROOKSIDE AVE",
            "city": "CHERRY VALLEY",
            "state": "CA",
            "postal_code": "922234073",
            "telephone_number": "951-845-1631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11799 Sebastian Way Ste 103",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917300708",
            "country_code": "US",
            "telephone_number": "909-353-7547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRID",
        "first_name": "AUNDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUNDREA",
            "last_name": "KOSTELECKY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cherry Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.