Active NPI
Eva Ussher, LVN
- Community Health Worker
- San Bernardino, CA
National Provider Identifier
1366280133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- VN165380
- Practice address
- 320 N E St FL 4
San Bernardino, CA 92401-1540 - Phone
- (909) 757-7611
- NPI assigned
- Jul 17, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | |||
| Community Health Worker | 172V00000X | VN165380 | CA | Primary |
Addresses
Primary practice location
320 N E St FL 4
San Bernardino, CA 92401-1540
Mailing address
14936 Genoa Dr
Fontana, CA 92336-1074
Phone (909) 714-6320
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN165380 | CA | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Management Solutions LLC | Current | Accepting new patients |
Locations
320 N E St
Fl 4
San Bernardino, CA 92401
Phone (909) 714-6320
Organizations & group practices 1
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.
-
- Case Management Agency
- San Bernardino, CA
- NPI 1831922491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1366280133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14936 GENOA DR",
"city": "FONTANA",
"state": "CA",
"postal_code": "923361074",
"telephone_number": "909-714-6320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N E ST FL 4",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011540",
"telephone_number": "909-757-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USSHER",
"first_name": "EVA",
"name_prefix": "Mrs.",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "VN165380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.