Laura Ponce Bernal, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95030186 Issued in CA

Practice address

1600 E Florida Ave Ste 103
Hemet, CA 92544-8637

Phone

(951) 929-8121

NPI assigned

May 22, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kolli Medical CorporationGroup PAC ID 4981827490, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: laira.bernal.p35@direct.kmsm.nextgenshare.com

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.

• Kolli Medical Corporation

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1659716884
  Medicare reassignment Care Compare group NPD
• Clinica Medica Familiar-PHN Inc

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1568585024
  NPD

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1407695257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E FLORIDA AVE STE 103",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925448637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E FLORIDA AVE STE 103",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925448637",
            "telephone_number": "951-929-8121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9792 Sierra Ave",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923356717",
            "country_code": "US",
            "telephone_number": "909-434-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONCE BERNAL",
        "first_name": "LAURA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Pirovano
• Marla Miller Pitzek, M.S.
• Planned Parenthood of the Pacific Southwest
• John C. Platts, D.D.S.
• Melina Melody Polvos
• Xavier Porchia
• Michelle Porter, NURSE PRACTITIONER
• Yadira Nohemi Portillo, MFTI
• Lissa-Ann Portorreal, PT
• Indhira Pozo-Gordon

• Family Nurse Practitioner in Hemet, CA
• Providers in Hemet, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.