M Healthcare Nursing Corp

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

M HEALTHCARE NURSING CORP

Practice address

1007 E Cooley Dr Ste 103
Colton, CA 92324-3901

Phone

(951) 727-6460

NPI assigned

Jan 7, 2025

Organization subpart

No

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

Authorized official

Name

Amalyn MejiaNPI 1386407823

Title

Ceo

Phone

(909) 663-7345

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amalyn Mejia, FNP-C

  • Family Nurse Practitioner
  • Colton, CA
  • NPI 1386407823
  Medicare reassignment NPD Authorized official
• Benjamin Morales Manacop III

  • Psychiatric/Mental Health Nurse Practitioner
  • Colton, CA
  • NPI 1750152344
  Medicare reassignment NPD
• Cheryl Macahilus Mateo, NP

  • Gerontology Nurse Practitioner
  • Los Alamitos, CA
  • NPI 1518435593

  Multi-Specialty

  Medicare reassignment NPD
• Geta Veronica Miclaus, FNP

  • Primary Care Nurse Practitioner
  • Running Springs, CA
  • NPI 1043034051
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1225848823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 E COOLEY DR STE 103",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 E COOLEY DR STE 103",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243901",
            "telephone_number": "951-727-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M HEALTHCARE NURSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "AMALYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-663-7345"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Renee Lux, D.O
• Krystina Lyall
• John Michael Lyons, MD
• Paul E Lyons, MD
• Olawale M M Fowobaje
• Christopher Yue Ma
• Kelvin Ma, D.O.
• Quang Van Ma, PHARMACIST
• Iveth Mabry
• Mac Hope Medical and Mental Health Clinic Inc

• Primary Care Nurse Practitioner in Colton, CA
• Providers in Colton, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.