Mary Bourang, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2023033598 Issued in CA

Practice address

1473 Ford St Ste 104
Redlands, CA 92373-3915

Phone

(909) 307-1250

NPI assigned

Jun 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Austin J Ma, M.D., a Professional Corporation

  • Hematology & Oncology Physician
  • Los Angeles, CA
  • NPI 1174685846
  NPD (past)
• The Oncology Institute Ca, a Professional Corporation

  • Hematology & Oncology Physician
  • Downey, CA
  • NPI 1275651515
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1316622251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 COLLETT AVE UNIT 406",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928798655",
            "telephone_number": "209-262-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 FORD ST STE 104",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733915",
            "telephone_number": "909-307-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 W Hospitality Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083244",
            "country_code": "US",
            "telephone_number": "909-886-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURANG",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "2023033598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fardad Borhani, DMD
• Alexandria Borjon
• Janee Brooke Both-Gragg, PHD, MFT
• Leah Fay Botimer, CPNP
• Kirsten Cathell Boulton, LCSW
• Robert CM Bourne, M.D.
• Jana K Boyd, JANA BOYD, PHD
• Vicky Reyes Boykins, LMFT
• Anneliese Mary Elizabeth Boyle
• Boys & Girls Clubs of Greater Redlands-Riverside

• Family Nurse Practitioner in Redlands, CA
• Providers in Redlands, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.