Active NPI
Rebecca Duran, NURSE PRACTITIONER
- Family Nurse Practitioner
- Redlands, CA
National Provider Identifier
1376194605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95012908
- Practice address
- 255 Terracina Blvd Ste 202
Redlands, CA 92373-4870 - Phone
- (909) 748-6065
- Fax
- (909) 748-6095
- NPI assigned
- Sep 27, 2019
- Last updated
- Mar 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95012908 | CA | Primary |
Addresses
Primary practice location
255 Terracina Blvd Ste 202
Redlands, CA 92373-4870
Mailing address
255 Terracina Blvd Ste 202
Redlands, CA 92373-4870
Phone (909) 748-6065
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samir E. Hage, D.O., Inc. | Current | Accepting new patients | |
| Stanley H Schwartz MD, Inc | Past | Accepting new patients | |
| Dap Health, Inc. | Past | Accepting new patients |
Locations
255 Terracina Blvd
Ste 202
Redlands, CA 92373
Phone (909) 748-6065
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba DAP Health-Coachella Valley Community Health Center
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- Coachella, CA
- NPI 1740948405
-
- Internal Medicine Physician
- Moreno Valley, CA
- NPI 1548494149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1376194605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 TERRACINA BLVD STE 202",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734870",
"telephone_number": "909-748-6065",
"fax_number": "909-748-6095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 TERRACINA BLVD STE 202",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734870",
"telephone_number": "909-748-6065",
"fax_number": "909-748-6095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "REBECCA",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-27",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95012908",
"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 Mar 6, 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.