Individual provider Active NPI

Sabrina Serah De Leon

  • Family Nurse Practitioner
  • Upland, CA
National Provider Identifier
1417769993
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031747 Issued in CA
Practice address
199 N 2ND Ave
Upland, CA 91786-6019
Phone
(909) 321-9000
Fax
(909) 321-2660
NPI assigned
Jan 22, 2025
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031747 CA Primary

Addresses

Primary practice location

199 N 2ND Ave
Upland, CA 91786-6019

Mailing address

199 N 2ND Ave
Upland, CA 91786-6019
Phone (909) 321-9000

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
I20250715003550 CA Practitioner - Nurse Practitioner 5991210262 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95031747CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prowellness Healthcare Inc. CurrentSince Aug 4, 2025 Accepting new patients
Foothills Psychological Services, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Doctors on the Go Inc. CurrentSince Jun 9, 2025 Accepting new patients
Mission City Community Network, Inc. CurrentSince Nov 3, 2025 Accepting new patients
Mission City Community Network, Inc. CurrentSince Nov 3, 2025 Accepting new patients
One Health Center, Inc. CurrentSince Dec 20, 2025 Accepting new patients

Locations

425 E Colorado St
Ste 535A
Glendale, CA 91205
Phone (818) 532-2222

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone (818) 882-0009

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

8439 White Oak Ave
Ste 103
Rancho Cucamonga, CA 91730
Phone (818) 337-6488

15206 Parthenia St
Sepulveda, CA 91343

199 N 2nd Ave
Upland, CA 91786
Phone (909) 294-3915

954 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 946-4222

15201 Eleventh St
Ste 300
Victorville, CA 92395
Phone (760) 245-1640

Organizations & group practices 7

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": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1417769993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 N 2ND AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866019",
            "telephone_number": "909-321-9000",
            "fax_number": "909-321-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 N 2ND AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866019",
            "telephone_number": "909-321-9000",
            "fax_number": "909-321-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "SABRINA",
        "middle_name": "SERAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.