Organization Active NPI

San Bernardino Department of Public Health

  • Family Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1477537140
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11125 Issued in CA
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

Updated by the provider on Aug 22, 2020

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.NPI 1992925721
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.