Active NPI
Beverly Chiong
- Family Nurse Practitioner
- Fontana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95003710
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95003710 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caritas Hospice Care Inc | Current | Accepting new patients | |
| Haumea Medical, Inc. | Current | Accepting new patients | |
| Care Connect Medical Group | Current | Accepting new patients | |
| Align Hospice Care, Inc. | Current | Accepting new patients | |
| Prompt Laboratories Inc | Current | 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.
-
- Community Based Hospice Care Agency
- San Fernando, CA
- NPI 1508418575
-
- Primary Care Nurse Practitioner
- Los Angeles, CA
- NPI 1134669971
-
- Community Based Hospice Care Agency
- Upland, CA
- NPI 1740859693
-
- Family Medicine Physician
- Roseville, CA
- NPI 1124838891
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1174250112
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.