Individual provider Active NPI

Kashmona U Bridget

  • Psychiatric/Mental Health Nurse Practitioner
  • Apple Valley, CA
National Provider Identifier
1083548150
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95039929 Issued in CA
Practice address
18484 US Highway 18 Ste 210
Apple Valley, CA 92307-2319
Phone
(760) 946-9133
Fax
(760) 946-9110
NPI assigned
Jun 11, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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 95039929 CA Primary

Addresses

Primary practice location

18484 US Highway 18 Ste 210
Apple Valley, CA 92307-2319

Mailing address

13660 Lexus LN
Fontana, CA 92335-0540
Phone (909) 202-7593

Other practice location 1

11201 5th St
Rancho Cucamonga, CA 91730-5952
Phone (657) 267-5100

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

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1083548150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 LEXUS LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923350540",
            "telephone_number": "909-202-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18484 US HIGHWAY 18 STE 210",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072319",
            "telephone_number": "760-946-9133",
            "fax_number": "760-946-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11201 5th St",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305952",
            "country_code": "US",
            "telephone_number": "657-267-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGET",
        "first_name": "KASHMONA",
        "middle_name": "U",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95039929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.