Individual provider Active NPI

Rebecca D. Cedro

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1346941507
Registry record updated Mar 15, 2023
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Nov 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024095 Issued in CA
Practice address
10722 Arrow Rte Ste 814a
Rancho Cucamonga, CA 91730-4843
Phone
(909) 527-4690
Fax
(909) 527-3352
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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 95024095 CA Primary

Addresses

Primary practice location

10722 Arrow Rte Ste 814a
Rancho Cucamonga, CA 91730-4843

Mailing address

10722 Arrow Rte Ste 814a
Rancho Cucamonga, CA 91730-4843
Phone (909) 527-4690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
95024095CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Healthcare Inc CurrentSince Aug 18, 2024 Accepting new patients
Metro Hospice West Valley Inc. Current Accepting new patients
Apple Healthcare, Inc. CurrentSince Mar 19, 2023 Accepting new patients

Locations

10722 Arrow Rte
Ste 814A
Rancho Cucamonga, CA 91730
Phone (909) 527-4690

Organizations & group practices 3

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": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1346941507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE STE 814A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304843",
            "telephone_number": "909-527-4690",
            "fax_number": "909-527-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE STE 814A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304843",
            "telephone_number": "909-527-4690",
            "fax_number": "909-527-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDRO",
        "first_name": "REBECCA",
        "middle_name": "D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.