Individual provider Active NPI

Louiedette Paige Presuel

  • Family Nurse Practitioner
  • Loma Linda, CA
National Provider Identifier
1285339945
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032245 Issued in CA
Practice address
11306 Mountain View Ave Ste B
Loma Linda, CA 92354-3832
Phone
(909) 361-6987
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 95032245 CA Primary

Addresses

Primary practice location

11306 Mountain View Ave Ste B
Loma Linda, CA 92354-3832

Mailing address

1001 Yuzu Way
Redlands, CA 92374-2261

Other names 1

  • Louiedette Paige Maling Former name

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
I20250430001363 CA Practitioner - Nurse Practitioner 5294251427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loma Linda University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants California IncGroup PAC ID 0547499865, 39 clinicians

Practice addresses (Care Compare)

11970 4TH St
Yucaipa, CA 92399-2720
Phone (312) 635-0973

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95032245CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants California Inc CurrentSince Sep 1, 2025 Accepting new patients
Pacific Point Laboratories, Inc. Past Accepting new patients
Ito Chiropractic Corporation Past Accepting new patients

Locations

1130 W La Palma Ave
Anaheim, CA 92801
Phone (714) 772-7480

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

7716 W Manchester Ave
Playa del Rey, CA 90293
Phone (310) 823-4694

1620 W Fern Ave
Redlands, CA 92373
Phone (909) 793-2196

8647 Fenwick St
Sunland, CA 91040
Phone (818) 352-1421

275 Garnet Way
Upland, CA 91786
Phone (909) 449-4887

1224 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 937-7450

35253 Avenue H
Yucaipa, CA 92399
Phone (909) 795-2476

11970 4th St
Yucaipa, CA 92399
Phone (719) 661-0764

Organizations & group practices 3

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1285339945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 YUZU WAY",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 MOUNTAIN VIEW AVE STE B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543832",
            "telephone_number": "909-361-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESUEL",
        "first_name": "LOUIEDETTE",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUIEDETTE",
            "last_name": "MALING",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.