Individual provider Active NPI

Yvette Miramontes, PA

  • Physician Assistant
  • Chino, CA
National Provider Identifier
1275076069
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17726 Issued in CA
Practice address
13152 Monte Vista Ave
Chino, CA 91710-4048
Phone
(909) 590-7093
Fax
(909) 590-7621
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17726 CA Primary

Addresses

Primary practice location

13152 Monte Vista Ave
Chino, CA 91710-4048

Mailing address

PO Box 2652
Chino Hills, CA 91709-0089
Phone (909) 590-7093

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
I20170110003016 CA Practitioner - Physician Assistant 7911288709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Health Service AllianceGroup PAC ID 4587642467, 14 clinicians

Practice addresses (Care Compare)

5050 San Bernardino St
Montclair, CA 91763-2326
Phone (909) 281-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17726CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Service Alliance CurrentSince Apr 1, 2025 Accepting new patients
Chino Valley Medical Center Past Accepting new patients
Foothills Psychological Services, Inc. Past Accepting new patients

Locations

5050 San Bernardino St
Montclair, CA 91763
Phone (909) 281-5800

10837 Laurel St
Ste 204
Rancho Cucamonga, CA 91730
Phone (310) 246-0702

Organizations & group practices 4

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": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1275076069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2652",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917090089",
            "telephone_number": "909-590-7093",
            "fax_number": "909-590-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13152 MONTE VISTA AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104048",
            "telephone_number": "909-590-7093",
            "fax_number": "909-590-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAMONTES",
        "first_name": "YVETTE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.