Individual provider Active NPI

Ronke Sarah Ambode

  • Psychiatric/Mental Health Nurse Practitioner
  • Redlands, CA
National Provider Identifier
1053034538
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95022598 Issued in CA
Practice address
1426 Claire Ave
Redlands, CA 92374-5713
Phone
(347) 484-7920
NPI assigned
Sep 20, 2022
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95022598 CA Primary

Addresses

Primary practice location

1426 Claire Ave
Redlands, CA 92374-5713

Mailing address

1426 Claire Ave
Redlands, CA 92374-5713
Phone (347) 484-7920

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
I20260114000391 CA Practitioner - Nurse Practitioner 5092291674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1426 Claire Ave
Redlands, CA 92374-5713

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95022598CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First-Point Physical Therapy and Rehabilitation Services Inc CurrentSince Apr 27, 2025 Accepting new patients
First-Point Healthcare & Nursing Services Inc Psychiatric/Mental Health CurrentSince Dec 5, 2025 Accepting new patients

Locations

225 W Hospitality Ln
Ste 208A
San Bernardino, CA 92408
Phone (347) 484-7920

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1053034538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 CLAIRE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745713",
            "telephone_number": "347-484-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 CLAIRE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745713",
            "telephone_number": "347-484-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBODE",
        "first_name": "RONKE",
        "middle_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.