Individual provider Active NPI

Ana Caroline Teles Remigio, FNP

  • Family Nurse Practitioner
  • Colton, CA
National Provider Identifier
1346791761
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005244 Issued in CA
Practice address
1003 E Cooley Dr
Suite 209
Colton, CA 92324-3948
Phone
(909) 528-3803
NPI assigned
Oct 20, 2016
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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 95005244 CA Primary

Addresses

Primary practice location

1003 E Cooley Dr
Suite 209
Colton, CA 92324-3948

Mailing address

264 N Highland Springs Ave
# 4
Banning, CA 92220-3082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260220002294 GA Practitioner - Nurse Practitioner 7911243761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1613 29TH St
Two Rivers, WI 54241-2103

222 Lakeview Ave
Suite 735
West Palm Beach, FL 33401-4098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95005244CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circadian Medical Group, P.C. CurrentSince Jan 28, 2026 Accepting new patients
Broadstone Medical, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Neighborhood Healthcare PastSince Feb 1, 2020 Accepting new patients

Locations

222 Lakeview Ave
Ste 735
West Palm Beach, FL 33401
Phone (231) 432-5841

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1346791761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 N HIGHLAND SPRINGS AVE",
            "address_2": "# 4",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E COOLEY DR",
            "address_2": "SUITE 209",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243948",
            "telephone_number": "909-528-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMIGIO",
        "first_name": "ANA CAROLINE",
        "middle_name": "TELES",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.