Individual provider Active NPI

Paulyn Gapay Harris, NP-C

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1154801140
Registry record updated Aug 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009740 Issued in CA
Practice address
10400 Arrow Rte Apt V10
Rancho Cucamonga, CA 91730-4782
Phone
(909) 663-4115
NPI assigned
Aug 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 95009740 CA Primary

Addresses

Primary practice location

10400 Arrow Rte Apt V10
Rancho Cucamonga, CA 91730-4782

Mailing address

10400 Arrow Rte Apt V10
Rancho Cucamonga, CA 91730-4782
Phone (909) 663-4115

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
I20211025001666 CA Practitioner - Nurse Practitioner 8820486830 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95009740CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Empire Nephrology, Inc. Multi-Specialty CurrentSince Jul 8, 2021 Accepting new patients
Monica P Cepin, MD a Medical Corporation Multi-Specialty Current Accepting new patients

Locations

480 Fourth Ave
Ste 507
Chula Vista, CA 91910
Phone (619) 427-4426

333 H St
Ste 2000
Chula Vista, CA 91910
Phone (619) 427-0665

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1154801140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 ARROW RTE APT V10",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304782",
            "telephone_number": "909-663-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 ARROW RTE APT V10",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304782",
            "telephone_number": "909-663-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PAULYN",
        "middle_name": "GAPAY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-19",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.