Individual provider Active NPI

Lornalyn Grace Jimenez Tongco, FNP-C

  • Family Nurse Practitioner
  • Corona, CA
National Provider Identifier
1245769561
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006205 Issued in CA
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

Updated by the provider on Jan 29, 2018

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423003028 CA Practitioner - Nurse Practitioner 9931536588 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prowellness Healthcare Inc. CurrentSince Mar 12, 2025 Accepting new patients
Doctors on the Go Inc. CurrentSince Mar 12, 2025 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.

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

Verify at the official NPI Registry.