Individual provider Active NPI

Nidia Valencia-Rymer

  • Professional Counselor
  • Pomona, CA
National Provider Identifier
1487015574
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2301 Issued in CA
Practice address
831 E Arrow Hwy
Pomona, CA 91767-2535
Phone
(909) 398-4383
Fax
(909) 445-8936
NPI assigned
Mar 16, 2016
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2301 CA Primary

Addresses

Primary practice location

831 E Arrow Hwy
Pomona, CA 91767-2535

Mailing address

831 E Arrow Hwy
Pomona, CA 91767-2535
Phone (900) 398-4383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240919000531 CA Practitioner - Mental Health Counselor 7618418534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthright 360 CurrentSince Sep 1, 2024 Accepting new patients
Healthright 360 Current Accepting new patients
Healthright 360 CurrentSince Sep 1, 2024 Accepting new patients

Locations

2650 E Foothill Blvd
Pasadena, CA 91107
Phone (212) 542-3838

831 E Arrow Hwy
Pomona, CA 91767
Phone (909) 398-4383

Organizations & group practices 3

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1487015574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 E ARROW HWY",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672535",
            "telephone_number": "900-398-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 E ARROW HWY",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672535",
            "telephone_number": "909-398-4383",
            "fax_number": "909-445-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA-RYMER",
        "first_name": "NIDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "2301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.