Individual provider Active NPI

Fnu Rashmi

  • Internal Medicine Physician
  • San Bernadino, CA
National Provider Identifier
1144906959
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14272 Issued in CA
Practice address
2101 N. Waterman Ave.
San Bernadine Hospital
San Bernadino, CA 92404
Phone
(909) 583-4970
NPI assigned
Jun 26, 2023
Reactivated
Jun 4, 2024
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 14272 CA Primary

Addresses

Primary practice location

2101 N. Waterman Ave.
San Bernadine Hospital
San Bernadino, CA 92404

Mailing address

2101 N Waterman Avenue
Dignity Health St Bernardine Medical Center
San Bernardino, CA 92404
Phone (859) 494-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1395 NW 167TH St
Miami, FL 33169-5710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1144906959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N WATERMAN AVENUE",
            "address_2": "DIGNITY HEALTH ST BERNARDINE MEDICAL CENTER",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "859-494-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N. WATERMAN AVE.",
            "address_2": "SAN BERNADINE HOSPITAL",
            "city": "SAN BERNADINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-583-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHMI",
        "first_name": "FNU",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "deactivation_date": "2024-02-02",
        "reactivation_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "14272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernadino, CA

Sources for this page

Verify at the official NPI Registry.