Individual provider Active NPI

Lisa Wong-Soqui, FNP

  • Family Nurse Practitioner
  • Yucaipa, CA
National Provider Identifier
1366761819
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP19682 Issued in CA
Practice address
33758 Yucaipa Blvd
Yucaipa, CA 92399-2243
Phone
(909) 795-9747
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 NP19682 CA Primary
Nurse Practitioner 363L00000X 19682 CA

Addresses

Primary practice location

33758 Yucaipa Blvd
Yucaipa, CA 92399-2243

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (714) 443-4512

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
I20100918000130 CA Practitioner - Nurse Practitioner 6608991310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of RiversideGroup PAC ID 6507754488, shared by 16 NPIs, 190 clinicians

Practice addresses (Care Compare)

191 N Sunrise Way
Palm Springs, CA 92262-5201
Phone (760) 778-2210

26600 Cactus Ave
Moreno Valley, CA 92555-3901

7140 Indiana Ave
Riverside, CA 92504-4544
Phone (951) 358-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19682CAMDClinical Psychologist
NP19682CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Oct 10, 2025 Accepting new patients
Beaver Medical Group P C CurrentSince Aug 31, 2022 Accepting new patients
Cep America-California CurrentSince Oct 10, 2025 Accepting new patients
Beaver Medical Group P C CurrentSince Aug 31, 2022 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Centers for Family Medicine GP Current Accepting new patients
Premier Emergency Physicians of California Medical Group PC Nurse Practitioner Past Accepting new patients
Rainbow Basin Emergency Physicians, a Medical Corporation Nurse Practitioner Past Accepting new patients

Locations

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

7000 Boulder Ave
Highland, CA 92346

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2 W Fern Ave
#1112
Redlands, CA 92373

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

33758 Yucaipa Blvd
Yucaipa, CA 92399
Phone (909) 795-9747

Interoperability endpoints

  • Direct secure messaging: lwongsoqui1262118@direct.llu.edu

Organizations & group practices 9

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1366761819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "714-443-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33758 YUCAIPA BLVD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992243",
            "telephone_number": "909-795-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG-SOQUI",
        "first_name": "LISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP19682",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "19682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

Verify at the official NPI Registry.