Individual provider Active NPI

Richard Pamplona Teves, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1407490824
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
950285323 Issued in CA
Practice address
1481 Windsor Dr
San Bernardino, CA 92404-5416
Phone
(909) 361-6472
Fax
(909) 203-7403
NPI assigned
Oct 29, 2019
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95191113 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 950285323 CA Primary

Addresses

Primary practice location

1481 Windsor Dr
San Bernardino, CA 92404-5416

Mailing address

13803 Champion Way
Eastvale, CA 92880-9012
Phone (714) 875-4922

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
I20240522003661 CA Practitioner - Nurse Practitioner 6507208550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear View Behavioral ServicesGroup PAC ID 3971902073, 13 clinicians

Practice addresses (Care Compare)

1902 Orange Tree LN
Suite 200
Redlands, CA 92374-2800
Phone (909) 798-6200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
950285323CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clear View Behavioral Services CurrentSince May 7, 2024 Accepting new patients
Telecare Corporation PastSince Nov 3, 2019 Accepting new patients

Locations

1902 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 798-6200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1407490824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13803 CHAMPION WAY",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809012",
            "telephone_number": "714-875-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 WINDSOR DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045416",
            "telephone_number": "909-361-6472",
            "fax_number": "909-203-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEVES",
        "first_name": "RICHARD",
        "middle_name": "PAMPLONA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95191113",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "950285323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.