Individual provider Active NPI

Celerina Noreik, FNP

  • Family Nurse Practitioner
  • Chino, CA
National Provider Identifier
1467181826
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021049 Issued in CA
Practice address
4774 Riverside Dr Ste F
Chino, CA 91710-3339
Phone
(800) 503-2970
Fax
(909) 696-6418
NPI assigned
Jun 9, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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 95021049 CA Primary

Addresses

Primary practice location

4774 Riverside Dr Ste F
Chino, CA 91710-3339

Mailing address

12193 San Marcos St
Victorville, CA 92392-6627
Phone (760) 780-8527

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
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12193 San Marcos St
Victorville, CA 92392-6627

1605 Valle del Sol
Redlands, CA 92373-7438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95021049CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RDM Forever, LLC CurrentSince Jun 12, 2022 Accepting new patients
New Life Venture Corp PastSince Jun 12, 2022 Accepting new patients

Locations

4774 Riverside Dr
Ste F
Ontario, CA 91710
Phone (800) 503-2970

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, 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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1467181826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12193 SAN MARCOS ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923926627",
            "telephone_number": "760-780-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4774 RIVERSIDE DR STE F",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103339",
            "telephone_number": "800-503-2970",
            "fax_number": "909-696-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOREIK",
        "first_name": "CELERINA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.