Individual provider Active NPI

Heidi Noel Larson, RN, MSN, FNP-C.

  • Family Nurse Practitioner
  • Upland, CA
National Provider Identifier
1073501433
Registry record updated Jan 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12262 Issued in CA
Practice address
525 N 13TH Ave
Upland, CA 91786-4950
Phone
(909) 982-5111
Fax
(909) 483-0760
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2016

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 12262 CA Primary

Addresses

Primary practice location

525 N 13TH Ave
Upland, CA 91786-4950

Mailing address

525 N 13TH Ave
Upland, CA 91786-4950
Phone (909) 982-5111

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
I20260305003890 CA Practitioner - Nurse Practitioner 0941445324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ravinder Singh MD., IncGroup PAC ID 9537268107, 5 clinicians

Practice addresses (Care Compare)

8231 Rochester Ave
Suite 110
Rancho Cucamonga, CA 91730-0735
Phone (909) 483-7800

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ravinder Singh MD., Inc CurrentSince Dec 30, 2025 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

8231 Rochester Ave
Rancho Cucamonga, CA 91730
Phone (909) 483-7800

8231 Rochester Ave
Ste 110
Rch Cucamonga, CA 91730
Phone (909) 483-7800

525 N 13th Ave
Ste A
Upland, CA 91786
Phone (909) 483-7800

525 N 13th Ave
Upland, CA 91786
Phone (909) 982-5111

Interoperability endpoints

  • Direct secure messaging: heidi.larson@ran.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHBAA/Endpoint/AHHBAA

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454112000000",
    "number": "1073501433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N 13TH AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864950",
            "telephone_number": "909-982-5111",
            "fax_number": "909-483-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N 13TH AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864950",
            "telephone_number": "909-982-5111",
            "fax_number": "909-483-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "HEIDI",
        "middle_name": "NOEL",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, FNP-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2016-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "12262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.