Individual provider Active NPI

Ysabel Sabeniano

  • Family Nurse Practitioner
  • Upland, CA
National Provider Identifier
1114617602
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022065383 Issued in CA
Practice address
300 N Euclid Ave Ste B
Upland, CA 91786-8323
Phone
(909) 920-9100
NPI assigned
May 9, 2023
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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 2022065383 CA Primary

Addresses

Primary practice location

300 N Euclid Ave Ste B
Upland, CA 91786-8323

Mailing address

300 N Euclid Ave Ste B
Upland, CA 91786-8323

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
I20240523001048 CA Practitioner - Nurse Practitioner 9931541810 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022065383CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of California CurrentSince Oct 4, 2024 Accepting new patients
Mission City Community Network, Inc. CurrentSince Nov 3, 2025 Accepting new patients
Foothills Psychological Services, Inc. CurrentSince Dec 14, 2025 Accepting new patients
Universal Care CurrentSince Apr 23, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Mission City Community Network, Inc. Current Accepting new patients
Mission City Community Network, Inc. CurrentSince Nov 3, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone (818) 882-0009

15206 Parthenia St
Sepulveda, CA 91343

954 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 946-4222

15201 Eleventh St
Ste 300
Victorville, CA 92395
Phone (760) 245-1640

Interoperability endpoints

  • Direct secure messaging: ysabeniano16255@direct-prd.molinahealthcare.com

Organizations & group practices 7

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1114617602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N EUCLID AVE STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N EUCLID AVE STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868323",
            "telephone_number": "909-920-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABENIANO",
        "first_name": "YSABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "2022065383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.