Individual provider Active NPI

Brihanna Nikole Landeros, CCHW

  • Community Health Worker
  • Jurupa Valley, CA
National Provider Identifier
1124819974
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
5897 Crown Dr
Jurupa Valley, CA 91752-3036
Phone
(951) 264-1127
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CA Primary

Addresses

Primary practice location

5897 Crown Dr
Jurupa Valley, CA 91752-3036

Mailing address

5897 Crown Dr
Jurupa Valley, CA 91752-3036

Other practice location 1

1126 W Foothill Blvd
Upland, CA 91786-3768
Phone (951) 542-1830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1124819974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5897 CROWN DR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917523036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5897 CROWN DR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917523036",
            "telephone_number": "951-264-1127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 W Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917863768",
            "country_code": "US",
            "telephone_number": "951-542-1830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDEROS",
        "first_name": "BRIHANNA",
        "middle_name": "NIKOLE",
        "credential": "CCHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jurupa Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.