Josephina C Andrade

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

696 S Tippecanoe Ave
San Bernardino, CA 92408-2607

Phone

(909) 723-1695

NPI assigned

May 28, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Young Visionaries Youth Leadership Academy

  • Early Intervention Provider Agency
  • San Bernardino, CA
  • NPI 1649601493
  NPD (past)

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1124811310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 S TIPPECANOE AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082607",
            "telephone_number": "909-723-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 S TIPPECANOE AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082607",
            "telephone_number": "909-723-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "JOSEPHINA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlowe V Anderson
• Mystique Anderson
• Queenesther Marie Anderson
• Nick B Andonov, PHD
• Audrey Andrade
• Laura Andrews, NURSE PRACTIONER
• Mary E Andrews
• Jason Skylor Ang
• Ashley Lacy Anganu
• Maria Angel-Esparza

• All providers in San Bernardino, CA
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.