Active NPI
Marcia Elvira Bernard, NP
- Psychiatric/Mental Health Nurse Practitioner
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP17603
- Practice address
- 1809 W Redlands Blvd
Redlands, CA 92373-8054 - Phone
- (909) 335-3026
- Fax
- (909) 335-3167
- NPI assigned
- Nov 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP17603 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP17603 | CA | Primary |
Addresses
Primary practice location
1809 W Redlands Blvd
Redlands, CA 92373-8054
Mailing address
1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP17603 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Psychiatric Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| University of California Irvine | Past | Accepting new patients | |
| Pomona Valley Hospital Medical Center | Past | Accepting new patients |
Locations
11306 Mountain View Ave
Ste A
Loma Linda, CA 92354
Phone (909) 423-0408
23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455
73700 Dinah Shore Dr
Ste 106
Palm Desert, CA 92211
Phone (760) 832-6352
8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870
1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320
2372 Sterling Ave
Sn Bernrdno, CA 92404
Phone (909) 422-8029
34675 Yucaipa Blvd
Ste 108
Yucaipa, CA 92399
Phone (909) 793-9596
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.
-
- Psychiatry Physician
- Redlands, CA
- NPI 1649217761
Psychiatric/Mental Health
-
- Psychiatry Physician
- Redlands, CA
- NPI 1336977990
Psychiatric/Mental Health
-
- Psychiatry Physician
- Hesperia, CA
- NPI 1588091169
Nurse Practitioner
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1346421328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 W REDLANDS BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738054",
"telephone_number": "909-335-3026",
"fax_number": "909-335-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 W REDLANDS BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738054",
"telephone_number": "909-335-3026",
"fax_number": "909-335-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "MARCIA",
"middle_name": "ELVIRA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP17603",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "NP17603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.