Active NPI
Nancy L. Alexander, PA
- Medical Physician Assistant
- Rancho Cucamonga, CA
National Provider Identifier
1417136664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA14020
- Practice address
- 8686 Haven Ave
Suite 200
Rancho Cucamonga, CA 91730-9110 - Phone
- (909) 706-3950
- Fax
- (909) 257-2300
- NPI assigned
- Oct 24, 2007
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA14020 | CA | Primary |
Addresses
Primary practice location
8686 Haven Ave
Suite 200
Rancho Cucamonga, CA 91730-9110
Mailing address
795 E Second St.
Suite 5
Pomona, CA 91766-2007
Phone (909) 469-8332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF507Z | Other | CA | SO CA PTAN |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14020 | CA | MD | Medical Physician Assistant |
Interoperability endpoints
- nancya@direct.meditouchehr.com
- nancy.alexander.p1@direct.metro.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1417136664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 E SECOND ST.",
"address_2": "SUITE 5",
"city": "POMONA",
"state": "CA",
"postal_code": "917662007",
"telephone_number": "909-469-8332",
"fax_number": "909-706-3785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8686 HAVEN AVE",
"address_2": "SUITE 200",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917309110",
"telephone_number": "909-706-3950",
"fax_number": "909-257-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "NANCY",
"middle_name": "L.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA14020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SO CA PTAN",
"identifier": "DF507Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.