Active NPI
San Bernardino Department of Public Health
- Family Nurse Practitioner
- San Bernardino, CA
National Provider Identifier
1477537140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11125
- Legal business name
- SAN BERNARDINO DEPARTMENT OF PUBLIC HEALTH
- Practice address
- 340 N. Mt. View Ave.
San Bernardino, CA 92415-0001 - Phone
- (909) 387-6224
- NPI assigned
- Dec 5, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lorna Maureen Nyberg, F.N.P.
- Title
- Family Nurse Practitioner
- Phone
- (909) 466-5974
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11125 | CA | Primary |
Addresses
Primary practice location
340 N. Mt. View Ave.
San Bernardino, CA 92415-0001
Mailing address
10332 Charwood CT
Alta Loma, CA 91737-3076
Phone (909) 466-5974
National Provider Directory
National Provider DirectoryLocations
340 N Mountain View Ave
San Bernardino, CA 92415
Phone (840) 255-7225
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Alta Loma, CA
- NPI 1992925721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477537140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10332 CHARWOOD CT",
"city": "ALTA LOMA",
"state": "CA",
"postal_code": "917373076",
"telephone_number": "909-466-5974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 N. MT. VIEW AVE.",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924150001",
"telephone_number": "909-387-6224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN BERNARDINO DEPARTMENT OF PUBLIC HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NYBERG",
"authorized_official_first_name": "LORNA",
"authorized_official_middle_name": "MAUREEN",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "909-466-5974",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "F.N.P."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "11125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
- San Bernardino County Department of Public Health
- San Bernardino County Department of Public Health
- San Bernardino County Schools
- San Bernardino County Superintendent of Schools
- San Bernardino County/CCS
- San Bernardino Family Medical Services Inc
- San Bernardino Fire Department
- San Bernardino Foot Clinic, Inc.
- San Bernardino Hospice and Palliative Care
- San Bernardino Hospice Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.