Individual provider Active NPI

Brandie Richards, NP

  • Family Nurse Practitioner
  • Yucaipa, CA
National Provider Identifier
1487025177
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003155 Issued in CA
Practice address
33494 Oak Glen Rd
Yucaipa, CA 92399-2057
Phone
(909) 881-4335
NPI assigned
Oct 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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 95003155 CA Primary

Addresses

Primary practice location

33494 Oak Glen Rd
Yucaipa, CA 92399-2057

Mailing address

33494 Oak Glen Rd
Yucaipa, CA 92399-2057
Phone (909) 881-4335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404001185 CA Practitioner - Nurse Practitioner 8628375821 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Emergency Medicine CurrentSince Feb 20, 2016 Accepting new patients
Beaver Medical Group P C CurrentSince Jan 4, 2022 Accepting new patients
Southern California Emergency Medicine CurrentSince Feb 20, 2016 Accepting new patients
Beaver Medical Group P C CurrentSince Jan 4, 2022 Accepting new patients

Locations

1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577

1295 Hamner Ave
Ste C
Norco, CA 92860
Phone (951) 272-6500

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

33494 Oak Glen Rd
Yucaipa, CA 92399
Phone (909) 797-8900

Interoperability endpoints

  • Direct secure messaging: brichards19407@epiclp.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1487025177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33494 OAK GLEN RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992057",
            "telephone_number": "909-881-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33494 OAK GLEN RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992057",
            "telephone_number": "909-881-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "BRANDIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

Verify at the official NPI Registry.