Individual provider Active NPI

Beverly Chiong

  • Family Nurse Practitioner
  • Fontana, CA
National Provider Identifier
1447619804
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003710 Issued in CA
Practice address
9961 Sierra Ave
Fontana, CA 92335-6720
Phone
(626) 389-7498
NPI assigned
Feb 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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 95003710 CA Primary

Addresses

Primary practice location

9961 Sierra Ave
Fontana, CA 92335-6720

Mailing address

7744 Chambray PL Unit 3
Rancho Cucamonga, CA 91739-8525

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95003710CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caritas Hospice Care Inc Current Accepting new patients
Haumea Medical, Inc. CurrentSince Jul 11, 2025 Accepting new patients
Care Connect Medical Group CurrentSince Jan 9, 2019 Accepting new patients
Align Hospice Care, Inc. Current Accepting new patients
Prompt Laboratories Inc CurrentSince Aug 7, 2022 Accepting new patients

Locations

209 W Alameda Ave
Ste 101
Burbank, CA 91502
Phone (866) 227-3310

1300 Valley Vista Dr
Ste 102
Diamond Bar, CA 91765
Phone (626) 389-7498

436 W Colorado St
Ste 210C
Glendale, CA 91204
Phone (866) 227-3310

1257 Pleasant Grove Blvd
Ste 110
Roseville, CA 95678
Phone (916) 980-6814

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1447619804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7744 CHAMBRAY PL UNIT 3",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9961 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356720",
            "telephone_number": "626-389-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIONG",
        "first_name": "BEVERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.