Individual provider Active NPI

Catherine Fung-Bagamasbad, FNP

  • Family Nurse Practitioner
  • Jurupa Valley, CA
National Provider Identifier
1437979697
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032325 Issued in CA
Practice address
9415 Mission Blvd Ste P
Jurupa Valley, CA 92509-2600
Phone
(833) 865-8263
Fax
(951) 332-6397
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 95032325 CA Primary

Addresses

Primary practice location

9415 Mission Blvd Ste P
Jurupa Valley, CA 92509-2600

Mailing address

3992 S Somerston Way
Ontario, CA 91761-3825
Phone (510) 504-0952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Western University of Health Sciences College of Dental Med, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandra K Force-Obrowski MD Inc.Group PAC ID 7214993146, 2 clinicians

Practice addresses (Care Compare)

7777 Milliken Ave
Suite 350
Rancho Cucamonga, CA 91730-6782
Phone (909) 484-9182

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95032325CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Volta Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Sandra K Force-Obrowski MD Inc. Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1437979697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3992 S SOMERSTON WAY",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917613825",
            "telephone_number": "510-504-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 MISSION BLVD STE P",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925092600",
            "telephone_number": "833-865-8263",
            "fax_number": "951-332-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG-BAGAMASBAD",
        "first_name": "CATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jurupa Valley, CA

Sources for this page

Verify at the official NPI Registry.