Individual provider Active NPI

Oradee Bonny Aueyong, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1154949451
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014776 Issued in CA
Practice address
4065 Whittier Blvd
Los Angeles, CA 90023-2556
Phone
(323) 968-1170
Fax
(323) 968-1175
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95014776 CA Primary

Addresses

Primary practice location

4065 Whittier Blvd
Los Angeles, CA 90023-2556

Mailing address

15906 Atoka Rd
Apple Valley, CA 92307-2749
Phone (626) 226-8706

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20210611001549 CA Practitioner - Nurse Practitioner 8426458472 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

9550 Escondido Ave
Hesperia, CA 92345-9120
Phone (833) 574-2273

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Mar 12, 2024 Accepting new patients
Hope Valley Health CurrentSince Jun 7, 2023 Accepting new patients
Specialty Wound Healing and Reconstruction Inc CurrentSince Sep 1, 2025 Accepting new patients
Choice Healthcare Associates, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 12, 2024 Accepting new patients
High Desert Nephrology Medical Associates, Inc. CurrentSince Oct 1, 2022 Accepting new patients

Locations

18522 US Highway 18
Ste 208
Apple Valley, CA 92307
Phone (760) 242-9262

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

1890 W Main St
Barstow, CA 92311
Phone (760) 256-1422

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

50 Bellefontaine St
Ste 304
Pasadena, CA 91105
Phone (626) 788-9152

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

35280 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 350-2498

12675 Hesperia Rd
Victorville, CA 92395
Phone (760) 241-3306

13010 Hesperia Rd
Ste 600
Victorville, CA 92395
Phone (760) 350-2498

11883 Amethyst Rd
Ste 100
Victorville, CA 92392
Phone (661) 272-3777

Organizations & group practices 7

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1154949451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15906 ATOKA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072749",
            "telephone_number": "626-226-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232556",
            "telephone_number": "323-968-1170",
            "fax_number": "323-968-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUEYONG",
        "first_name": "ORADEE",
        "middle_name": "BONNY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2023-12-22",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.