Individual provider Active NPI

Monica Palma, NP-C, CNM

  • Advanced Practice Midwife
  • Upland, CA
National Provider Identifier
1497950489
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236365 Issued in CA
Practice address
600 N Mountain Ave Ste A104
Upland, CA 91786-4359
Phone
(909) 581-4667
Fax
(909) 581-4455
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Perinatal Nurse Practitioner 363LP1700X RNP 548298 CA
Women's Health Nurse Practitioner 363LW0102X RNP548298 CA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RNP 548298 CA
Advanced Practice Midwife 367A00000X 236365 CA Primary
Nurse Practitioner 363L00000X 13363 CA

Addresses

Primary practice location

600 N Mountain Ave Ste A104
Upland, CA 91786-4359

Mailing address

600 N Mountain Ave Ste A104
Upland, CA 91786-4359
Phone (909) 581-4667

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
I20161010001572 CA Practitioner - Nurse Practitioner 0244531028 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13363CAMDPediatric Occupational Therapist
RNP548298CAMDWomen's Health Nurse Practitioner
RNP 548298CAMDObstetrics & Gynecology Nurse Practitioner
236365CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Healthcare for Women and Children a Nursing Corporation CurrentSince May 1, 2023 Accepting new patients
Unicare Community Health Center, Inc. PastSince Dec 14, 2013 Accepting new patients

Locations

600 N Mountain Ave
Ste A104
Upland, CA 91786
Phone (909) 581-4667

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unicare Community Health Center, Inc.San Bernardino, CA, CCN 751811 Federally qualified health center Corporate Director Dec 14, 2013
Unicare Community Health Center, Inc.Ontario, CA, CCN 751810 Federally qualified health center Corporate Director Dec 14, 2013
Unicare Community Health Center, Inc.Pomona, CA, CCN 751827 Federally qualified health center Corporate Director Dec 14, 2013

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1497950489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE A104",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-581-4667",
            "fax_number": "909-581-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE A104",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-581-4667",
            "fax_number": "909-581-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMA",
        "first_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "NP-C, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "CA",
            "license": "RNP 548298",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "RNP548298",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "RNP 548298",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236365",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "13363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.