Individual provider Active NPI

Nancy Rehfeld

  • Family Nurse Practitioner
  • Glendora, CA
National Provider Identifier
1093198848
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
495219 Issued in CA
Practice address
1620 S Grand Ave
Glendora, CA 91740-5433
Phone
(626) 335-1919
Fax
(626) 335-1911
NPI assigned
Jun 29, 2015
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 495219 CA Primary

Addresses

Primary practice location

1620 S Grand Ave
Glendora, CA 91740-5433

Mailing address

1620 S Grand Ave
Glendora, CA 91740-5433
Phone (626) 335-1919

Other practice location 1

7501 Fannin St Ste 705
Houston, TX 77054-1958
Phone (713) 589-5283

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
I20190603001433 CA Practitioner - Nurse Practitioner 8729311923 Reassigns benefits to 3 organizations
Practice locations: Glendora, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Marino Psychiatric Associates IncGroup PAC ID 6709864895, 6 clinicians
Kevin Wethey MD a Professional CorporationGroup PAC ID 5496298366, 5 clinicians

Practice addresses (Care Compare)

2400 Mission St
San Marino, CA 91108-1632
Phone (626) 403-8999

750 N Diamond Bar Blvd
Suite 212
Diamond Bar, CA 91765-1023
Phone (909) 460-8733

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Marino Psychiatric Associates, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Grow Healthcare Group PC CurrentSince Dec 5, 2022 Accepting new patients
Kevin Wethey, M.D. a Professional Corporation CurrentSince Nov 15, 2024 Accepting new patients

Locations

750 N Diamond Bar Blvd
Ste 212
Diamond Bar, CA 91765
Phone (909) 460-8733

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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, 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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1093198848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405433",
            "telephone_number": "626-335-1919",
            "fax_number": "626-335-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405433",
            "telephone_number": "626-335-1919",
            "fax_number": "626-335-1911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 Fannin St Ste 705",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770541958",
            "country_code": "US",
            "telephone_number": "713-589-5283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REHFELD",
        "first_name": "NANCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "495219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.