Individual provider Active NPI

Selene Esbayde Aragon

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1073204541
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029024 Issued in CA
Practice address
7777 Milliken Ave Ste 350
Rancho Cucamonga, CA 91730-6782
Phone
(909) 484-9182
Fax
(909) 476-0050
NPI assigned
May 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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 95029024 CA Primary

Addresses

Primary practice location

7777 Milliken Ave Ste 350
Rancho Cucamonga, CA 91730-6782

Mailing address

11838 Mount Cambridge CT
Rancho Cucamonga, CA 91737-7917
Phone (909) 401-4315

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
I20241122002445 CA Practitioner - Nurse Practitioner 8325573694 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside Current Accepting new patients
Sandra K Force-Obrowski MD Inc. CurrentSince Nov 6, 2024 Accepting new patients
County of Riverside CurrentSince Oct 1, 2025 Accepting new patients
County of Riverside CurrentSince Oct 1, 2025 Accepting new patients
Lumns California CurrentSince Oct 9, 2024 Accepting new patients

Locations

308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700

9755 Arrow Rte
Ste H
Rancho Cucamonga, CA 91730
Phone (909) 401-4315

7777 Milliken Ave
Ste 350
Rch Cucamonga, CA 91730
Phone (909) 484-9182

Interoperability endpoints

  • Direct secure messaging: saragon1280976@direct.llu.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBHGDD/Endpoint/HBHGDD

Organizations & group practices 5

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": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1073204541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11838 MOUNT CAMBRIDGE CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917377917",
            "telephone_number": "909-401-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE STE 350",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306782",
            "telephone_number": "909-484-9182",
            "fax_number": "909-476-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGON",
        "first_name": "SELENE",
        "middle_name": "ESBAYDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.