Individual provider Active NPI

Stephanie Grace Enriquez, NP

  • Primary Care Nurse Practitioner
  • Eastvale, CA
National Provider Identifier
1396536801
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95027779 Issued in CA
Practice address
6808 Lokai CT
Eastvale, CA 92880-3977
Phone
(714) 785-9323
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95027779 CA Primary

Addresses

Primary practice location

6808 Lokai CT
Eastvale, CA 92880-3977

Mailing address

6808 Lokai CT
Eastvale, CA 92880-3977
Phone (714) 785-9323

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924004395 CA Practitioner - Cardiovascular Disease (Cardiology) 1052816659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29830 Cornelius CT
Highland, CA 92346-5970

6808 Lokai CT
Eastvale, CA 92880-3977

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Specialists of Redlands and the Inland Empire LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1752 E Lugonia Ave
Ste 1171124
Redlands, CA 92374

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

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.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1396536801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 LOKAI CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803977",
            "telephone_number": "714-785-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 LOKAI CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803977",
            "telephone_number": "714-785-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "STEPHANIE",
        "middle_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95027779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

Verify at the official NPI Registry.