Individual provider Active NPI

Randie Elise Dyche, NP

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1194229997
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95008278 Issued in CA
Practice address
7777 Milliken Ave Ste a
Rancho Cucamonga, CA 91730-7489
Phone
(909) 948-8100
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 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 NP95008278 CA Primary

Addresses

Primary practice location

7777 Milliken Ave Ste a
Rancho Cucamonga, CA 91730-7489

Mailing address

579 S College Ave
Claremont, CA 91711-5557
Phone (909) 838-4530

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
I20180508000975 CA Practitioner - Nurse Practitioner 7810251428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Urgent Care Group IncGroup PAC ID 7214107861, 31 clinicians

Practice addresses (Care Compare)

8250 White Oak Ave
Suite 106
Rancho Cucamonga, CA 91730-7679
Phone (909) 361-6090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95008278CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Urgent Care Group, Inc Current Accepting new patients
Mountain View Urgent Care Group, Inc CurrentSince Apr 13, 2018 Accepting new patients

Locations

12442 Limonite Ave
Unit 102
Eastvale, CA 91752
Phone (951) 393-3000

16465 Sierra Lakes Pkwy
Ste 100
Fontana, CA 92336
Phone (909) 434-1150

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

8250 White Oak Ave
Ste 106
Rancho Cucamonga, CA 91730
Phone (909) 360-4722

7777 Milliken Ave
Ste A
Rch Cucamonga, CA 91730
Phone (909) 948-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18095/brand/2/csg/1/fhir/r4

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1194229997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 S COLLEGE AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115557",
            "telephone_number": "909-838-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307489",
            "telephone_number": "909-948-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCHE",
        "first_name": "RANDIE",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95008278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.