Organization Active NPI

Rancho Primary Care Clinic, a Nursing Professional Corporation

Doing business as Rancho Primary Care Clinic

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1104706456
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RANCHO PRIMARY CARE CLINIC, A NURSING PROFESSIONAL CORPORATION
Doing business as
Rancho Primary Care Clinic
Practice address
9619 Foothill Blvd
Rancho Cucamonga, CA 91730-3507
Phone
(909) 360-1885
NPI assigned
Sep 5, 2025
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Lovella Cantos Delos Santos, FNP-CNPI 1912704669
Title
Family Nurse Practitioner
Phone
(951) 315-2646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

9619 Foothill Blvd
Rancho Cucamonga, CA 91730-3507

Mailing address

9619 Foothill Blvd
Rancho Cucamonga, CA 91730-3507
Phone (909) 360-1885

Other names 1

  • Rancho Primary Care Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

9619 Foothill Blvd
Rancho Cucamonga, CA 91730
Phone (909) 360-1885

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1104706456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9619 FOOTHILL BLVD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303507",
            "telephone_number": "909-360-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9619 FOOTHILL BLVD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303507",
            "telephone_number": "909-360-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO PRIMARY CARE CLINIC, A NURSING PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "DELOS SANTOS",
        "authorized_official_first_name": "LOVELLA",
        "authorized_official_middle_name": "CANTOS",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "951-315-2646",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 5, 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.