Individual provider Active NPI

Grace Bartlett

  • Family Nurse Practitioner
  • Ontario, CA
National Provider Identifier
1487026050
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002591 Issued in CA
Practice address
2820 S Sultana Ave
Ontario, CA 91761-8727
Phone
(909) 438-8668
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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 95002591 CA Primary

Addresses

Primary practice location

2820 S Sultana Ave
Ontario, CA 91761-8727

Mailing address

2820 S Sultana Ave
Ontario, CA 91761-8727
Phone (909) 438-8668

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
I20151118002950 CA Practitioner - Nurse Practitioner 0244530517 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians
Dalia Dawoud MD IncGroup PAC ID 7012370265, 19 clinicians

Practice addresses (Care Compare)

14117 Limonite Ave
Suite 300
Eastvale, CA 92880-3864
Phone (951) 210-7237

2790 Cabot Dr
Suite 145
Corona, CA 92883-7382
Phone (951) 603-3030

4200 Chino Hills Pkwy
Suite 800
Chino Hills, CA 91709-3785
Phone (909) 606-6559

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95002591CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Practitioner Medical Group - a Professional Nursing Corp Family CurrentSince Jul 15, 2024 Accepting new patients
Doctors on the Go Inc. CurrentSince Jul 29, 2022 Accepting new patients
Home Care MD Medical Group Family CurrentSince Jul 15, 2024 Accepting new patients
All Home Mobile Services Inc. CurrentSince Nov 1, 2020 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Nov 26, 2024 Accepting new patients
Southland Emergency Medical Associates Inc CurrentSince Nov 15, 2017 Accepting new patients
Carbon Health Medical Group of California PC Past Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

11971 Central Ave
Ste B
Chino, CA 91710
Phone (909) 310-1488

15840 Soquel Canyon Pkwy
Ste E
Chino Hills, CA 91709

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722

14117 Limonite Ave
Ste 300
Eastvale, CA 92880
Phone (951) 210-7237

4795 Holt Blvd
Ste 205
Montclair, CA 91763
Phone (714) 496-5710

401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206

7831 Monticello Ave
Ste 1102
Rancho Cucamonga, CA 91739
Phone (909) 285-2098

8439 White Oak Ave
Ste 103
Rancho Cucamonga, CA 91730
Phone (818) 337-6488

10570 Foothill Blvd
Ste 210
Rancho Cucamonga, CA 91730
Phone (909) 991-7577

100 N Barranca St
Ste 900J
West Covina, CA 91791
Phone (626) 377-7608

Organizations & group practices 8

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1487026050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 S SULTANA AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618727",
            "telephone_number": "909-438-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 S SULTANA AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618727",
            "telephone_number": "909-438-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.