Active NPI
Jane Thu Himmelvo, M.D.
- Family Medicine Physician
- Rancho Cucamonga, CA
National Provider Identifier
1235170440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A95816
- Practice address
- 5131 Nellie CT
Rancho Cucamonga, CA 91739-5132 - Phone
- (213) 841-4181
- Fax
- (909) 621-1397
- NPI assigned
- Jun 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M2180 | TX | |
| Family Medicine Physician | 207Q00000X | A95816 | CA | Primary |
Addresses
Primary practice location
5131 Nellie CT
Rancho Cucamonga, CA 91739-5132
Mailing address
5131 Nellie CT
Rancho Cucamonga, CA 91739-5132
Phone (213) 841-4181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8891 Central Ave
Suite a
Montclair, CA 91763-1685
Phone (432) 294-5833
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Zachary, D.O., P.C. | Family Medicine | Current | Accepting new patients |
| Central Primary Care | Current | Accepting new patients | |
| Central Medical Practice | Current | Accepting new patients | |
| Above Urgent Care Center | Current | Accepting new patients | |
| Thuy T M Nguyen M D Inc | Past | Accepting new patients | |
| California Care Level Management Direct Medical Group, Inc | Past | Accepting new patients |
Locations
7111 N Fresno St
Ste 200
Fresno, CA 93720
Phone (415) 353-6817
8891 Central Ave
Ste A
Montclair, CA 91763
Phone (432) 294-5833
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jhimmelvo12464@cchealth.direct-ci.com
- https://fhir4.healow.com/fhir/r4/CGGFDD/Endpoint/CGGFDD
Organizations & group practices 6
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.
-
dba Above Urgent Care
- Urgent Care Clinic/Center
- Montclair, CA
- NPI 1366287708
-
- Primary Care Clinic/Center
- Montclair, CA
- NPI 1992540348
-
- Urgent Care Clinic/Center
- Montclair, CA
- NPI 1215498811
-
- Family Medicine Physician
- Fresno, CA
- NPI 1710592621
-
- General Practice Physician
- Woodland Hills, CA
- NPI 1659357341
-
- Urgent Care Clinic/Center
- Montclair, CA
- NPI 1558503169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1235170440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5131 NELLIE CT",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917395132",
"telephone_number": "213-841-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5131 NELLIE CT",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917395132",
"telephone_number": "213-841-4181",
"fax_number": "909-621-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIMMELVO",
"first_name": "JANE",
"middle_name": "THU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M2180",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A95816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.