Individual provider Active NPI

Tyeisha Frields

  • Case Manager/Care Coordinator
  • Rancho Cucamonga, CA
National Provider Identifier
1093518011
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
10700 Civic Center Dr Ste 100C
Rancho Cucamonga, CA 91730-3875
Phone
(909) 755-1108
NPI assigned
Mar 27, 2025
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

10700 Civic Center Dr Ste 100C
Rancho Cucamonga, CA 91730-3875

Mailing address

10700 Civic Center Dr Ste 100
Rancho Cucamonga, CA 91730-3897

Other practice location 1

9033 Base Line Rd Ste M
Rancho Cucamonga, CA 91730-1215
Phone (909) 755-1108

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mel Latone Family Counseling, Inc. Case Manager/Care Coordinator CurrentSince Mar 9, 2020 Accepting new patients

Locations

10700 Civic Center Dr
Ste 100C
Rancho Cucamonga, CA 91730
Phone (909) 755-1108

9033 Base Line Rd
Ste M
Rancho Cucamonga, CA 91730
Phone (909) 755-1108

Organizations & group practices 1

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": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1093518011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CIVIC CENTER DR STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CIVIC CENTER DR STE 100C",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303875",
            "telephone_number": "909-755-1108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9033 Base Line Rd Ste M",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917301215",
            "country_code": "US",
            "telephone_number": "909-755-1108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIELDS",
        "first_name": "TYEISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.