Individual provider Active NPI

Lorraine A Von Deauxplette

  • Nursing Home Administrator
  • San Bernardino, CA
National Provider Identifier
1154113587
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
7035076735 Issued in CA
Practice address
1887 Business Center Dr # 6a
San Bernardino, CA 92408-3463
Phone
(951) 333-4893
NPI assigned
May 21, 2025
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X 7035076735 CA Primary

Addresses

Primary practice location

1887 Business Center Dr # 6a
San Bernardino, CA 92408-3463

Mailing address

1887 Business Center Dr # 6a
San Bernardino, CA 92408-3463
Phone (951) 333-4893

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

State licenses

LicenseStateTypeSpecialty
7035076735CAMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Mainstream Lifestyles, Inc. CurrentSince May 25, 2025 Accepting new patients

Locations

1887 Business Center Dr
#6A
San Bernardino, CA 92408
Phone (951) 333-4893

Organizations & group practices 1

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": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1154113587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 BUSINESS CENTER DR # 6A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083463",
            "telephone_number": "951-333-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 BUSINESS CENTER DR # 6A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083463",
            "telephone_number": "951-333-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON DEAUXPLETTE",
        "first_name": "LORRAINE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": "7035076735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.