Active NPI
Lornalyn Grace Jimenez Tongco, FNP-C
- Family Nurse Practitioner
- Corona, CA
National Provider Identifier
1245769561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006205
- Practice address
- 6646 Whitewell Rd
Corona, CA 92880-9154 - Phone
- (707) 342-8364
- NPI assigned
- Jun 8, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95006205 | CA | Primary |
Addresses
Primary practice location
6646 Whitewell Rd
Corona, CA 92880-9154
Mailing address
6646 Whitewell Rd
Corona, CA 92880-9154
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prowellness Healthcare Inc. | Current | Accepting new patients | |
| Doctors on the Go Inc. | Current | Accepting new patients |
Locations
425 E Colorado St
Ste 535A
Glendale, CA 91205
Phone (818) 532-2222
8439 White Oak Ave
Ste 103
Rancho Cucamonga, CA 91730
Phone (818) 337-6488
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.
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1700523362
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1053150698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1245769561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6646 WHITEWELL RD",
"city": "CORONA",
"state": "CA",
"postal_code": "928809154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6646 WHITEWELL RD",
"city": "CORONA",
"state": "CA",
"postal_code": "928809154",
"telephone_number": "707-342-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONGCO",
"first_name": "LORNALYN GRACE",
"middle_name": "JIMENEZ",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95006205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.