Individual provider Active NPI

Maria Velma Yep, DNP, APRN, GNP-BC

  • Gerontology Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1316090103
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
NP13575 Issued in CA
Practice address
9190 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5431
Phone
(909) 527-8110
Fax
(909) 581-6738
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NP13575 CA Primary

Addresses

Primary practice location

9190 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5431

Mailing address

9190 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5431
Phone (909) 527-8110

Other practice location 1

9140 Haven Ave Ste 112
Rancho Cucamonga, CA 91730-5414
Phone (909) 527-8110

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
I20081114000577 CA Practitioner - Nurse Practitioner 5890855209 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP13575CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. CurrentSince May 1, 2023 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Chaparral Medical Group Inc. CurrentSince May 1, 2023 Accepting new patients
Hospitalist Corporation of Inland Empire Past Accepting new patients
Chaparral Medical Group Inc Past Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

1818 N Orange Grove Ave
Ste 204
Pomona, CA 91767
Phone (909) 620-7200

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

9140 Haven Ave
Ste 112
Rancho Cucamonga, CA 91730
Phone (626) 774-7852

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1316090103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 HAVEN AVE STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305431",
            "telephone_number": "909-527-8110",
            "fax_number": "909-581-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9190 HAVEN AVE STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305431",
            "telephone_number": "909-527-8110",
            "fax_number": "909-581-6738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9140 Haven Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305414",
            "country_code": "US",
            "telephone_number": "909-527-8110",
            "fax_number": "909-581-6738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEP",
        "first_name": "MARIA VELMA",
        "name_prefix": "Mrs.",
        "credential": "DNP, APRN, GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "NP13575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.