Individual provider Active NPI

Bernadette Nkechi Akpengbe, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1326585910
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022057900 Issued in CA
Practice address
255 N D St Ste 400
San Bernardino, CA 92401-1715
Phone
(909) 455-7571
NPI assigned
Jan 20, 2017
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95005911 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022057900 CA Primary

Addresses

Primary practice location

255 N D St Ste 400
San Bernardino, CA 92401-1715

Mailing address

4990 Arlington Ave Ste D
Riverside, CA 92504-2757
Phone (951) 785-9011

Other practice location 1

711 Lindenwood Dr
Claremont, CA 91711-2953
Phone (909) 455-7571

Other practice location 2

4990 Arlington Ave Ste D
Riverside, CA 92504-2757
Phone (951) 785-9011

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
I20190809002906 CA Practitioner - Nurse Practitioner 7719214998 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95005911CAMDFamily Nurse Practitioner
2022057900CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Marcos Medical Group Inc CurrentSince Mar 13, 2019 Accepting new patients
Diligence Care Plus Nursing Corporation Psychiatric/Mental Health CurrentSince May 3, 2023 Accepting new patients

Locations

14980 Summit Ave
Ste 230
Fontana, CA 92336
Phone (909) 803-1160

7965 Sierra Ave
Ste E
Fontana, CA 92336
Phone (909) 356-4459

4990 Arlington Ave
Ste D
Riverside, CA 92504
Phone (909) 785-9011

255 N D St
Ste 400
San Bernardino, CA 92401
Phone (909) 567-2808

742 W Highland Ave
Sn Bernrdno, CA 92405
Phone (909) 881-7320

3430 E Russell Rd
Ste 30177
Las Vegas, NV 89120

Interoperability endpoints

  • Direct secure messaging: bernadette.akpengbe.p1@direct.metro.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1326585910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 ARLINGTON AVE STE D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042757",
            "telephone_number": "951-785-9011",
            "fax_number": "951-785-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N D ST STE 400",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011715",
            "telephone_number": "909-455-7571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Lindenwood Dr",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "CA",
            "postal_code": "917112953",
            "country_code": "US",
            "telephone_number": "909-455-7571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4990 Arlington Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925042757",
            "country_code": "US",
            "telephone_number": "951-785-9011",
            "fax_number": "951-785-1436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKPENGBE",
        "first_name": "BERNADETTE",
        "middle_name": "NKECHI",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005911",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "2022057900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.