Individual provider Active NPI

Jennifer Lynn Prina, FNP-C

  • Family Nurse Practitioner
  • Upland, CA
National Provider Identifier
1124654454
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95014236 Issued in CA
Practice address
974 W Foothill Blvd
Upland, CA 91786-3728
Phone
(909) 981-2273
NPI assigned
Mar 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN834267 CA
Family Nurse Practitioner 363LF0000X NP95014236 CA Primary

Addresses

Primary practice location

974 W Foothill Blvd
Upland, CA 91786-3728

Mailing address

260 N Glendora Ave
Covina, CA 91724-2968

Other practice location 1

260 N Glendora Ave
Covina, CA 91724-2968
Phone (805) 698-0189

Other practice location 2

255 E Bonita Ave
Pomona, CA 91767-1923
Phone (909) 643-2980

Other practice location 3

15464 Goldenwest St
Westminster, CA 92683-6149
Phone (877) 696-3622

Other practice location 4

8250 White Oak Ave
Rancho Cucamonga, CA 91730-7678
Phone (909) 361-6090

Other practice location 5

212 Coffee Rd Ste 100
Bakersfield, CA 93309-1273
Phone (661) 885-6060

Other names 1

  • Jennifer Lynn Nguyen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation

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
I20231026002229 CA Practitioner - Nurse Practitioner 5395191332 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency Physicians Urgent Care IncGroup PAC ID 8527234418, 138 clinicians

Practice addresses (Care Compare)

41540 Winchester Rd
Temecula, CA 92590-4877
Phone (951) 365-5585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN834267CAMDRegistered Nurse
NP95014236CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Urgent Care Inc. CurrentSince Jan 28, 2025 Accepting new patients
Mountain View Urgent Care Group, Inc CurrentSince Jun 15, 2024 Accepting new patients
Mountain View Emergency Physicians Medical Group, Inc. CurrentSince Jun 10, 2024 Accepting new patients
Mountain View Urgent Care Group, Inc CurrentSince Jun 15, 2024 Accepting new patients
Memorialcare Medical Foundation CurrentSince Sep 15, 2023 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Jan 28, 2025 Accepting new patients

Locations

2251 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 624-0404

2400 K St
Bakersfield, CA 93301
Phone (661) 885-9909

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679

4040 California Ave
Bakersfield, CA 93309
Phone (661) 336-2050

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

761 W Shaw Ave
Clovis, CA 93612
Phone (559) 549-3234

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

12442 Limonite Ave
Unit 102
Eastvale, CA 91752
Phone (951) 393-3000

16465 Sierra Lakes Pkwy
Ste 100
Fontana, CA 92336
Phone (909) 434-1150

11420 Warner Ave
Fountain Vly, CA 92708
Phone (714) 549-1300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

24799 Alicia Pkwy
Laguna Hills, CA 92653
Phone (949) 652-2515

28110 Clinton Keith Rd
Murrieta, CA 92563
Phone (661) 885-6060

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

29400 Rancho California Rd
Temecula, CA 92591
Phone (951) 595-8282

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

15464 Goldenwest St
Westminster, CA 92683
Phone (714) 891-9008

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18095/brand/2/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1124654454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 N GLENDORA AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863728",
            "telephone_number": "909-981-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 N Glendora Ave",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917242968",
            "country_code": "US",
            "telephone_number": "805-698-0189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 E Bonita Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917671923",
            "country_code": "US",
            "telephone_number": "909-643-2980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15464 Goldenwest St",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926836149",
            "country_code": "US",
            "telephone_number": "877-696-3622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8250 White Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917307678",
            "country_code": "US",
            "telephone_number": "909-361-6090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Coffee Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933091273",
            "country_code": "US",
            "telephone_number": "661-885-6060",
            "fax_number": "661-520-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN834267",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95014236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NGUYEN",
            "middle_name": "LYNN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.