Access Care

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

NP13242 Issued in CA

Legal business name

ACCESS CARE

Practice address

22040 Van Buren St
Grand Terrace, CA 92313-5608

Phone

(909) 709-7941

Fax

(888) 519-0834

NPI assigned

Aug 24, 2018

Last updated

Aug 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frenalyn DomingoNPI 1588685226

Title

Owner

Phone

(909) 709-7941

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frenalyn Bacate Domingo, NP

  • Nurse Practitioner
  • Grand Terrace, CA
  • NPI 1588685226
  NPD Authorized official

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1104307594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25612 BARTON RD # 335",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543110",
            "telephone_number": "909-709-7941",
            "fax_number": "888-519-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22040 VAN BUREN ST",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135608",
            "telephone_number": "909-709-7941",
            "fax_number": "888-519-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "FRENALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-709-7941"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "NP13242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Grand Terrace, CA
• Providers in Grand Terrace, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.