Active NPI
Monique Chevette Lumpkin, CA5633
- Emergency Medical Services (Emergency Medicine) Physician
- Riverside, CA
National Provider Identifier
1215520291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- CA5633
- Practice address
- 4505 Allstate Dr Ste 208
Riverside, CA 92501-1779 - Phone
- (951) 545-8624
- Fax
- (844) 746-7646
- NPI assigned
- Feb 19, 2021
- Last updated
- Feb 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | CA5633 | CA | Primary |
Addresses
Primary practice location
4505 Allstate Dr Ste 208
Riverside, CA 92501-1779
Mailing address
394 S State St
San Bernardino, CA 92410-2133
Phone (951) 545-8624
Other practice location 1
394 S State St
San Bernardino, CA 92410-2133
Phone (951) 545-8624
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
| License | State | Type | Specialty |
|---|---|---|---|
| CA5633 | CA | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lumpkin Academy | Single Specialty | Current | Accepting new patients |
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": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1215520291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "394 S STATE ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924102133",
"telephone_number": "951-545-8624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 ALLSTATE DR STE 208",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011779",
"telephone_number": "951-545-8624",
"fax_number": "844-746-7646"
}
],
"practiceLocations": [
{
"address_1": "394 S State St",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924102133",
"country_code": "US",
"telephone_number": "951-545-8624",
"fax_number": "844-746-7646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUMPKIN",
"first_name": "MONIQUE",
"middle_name": "CHEVETTE",
"name_prefix": "Ms.",
"credential": "CA5633",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": "CA5633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.