Individual provider Active NPI

Cynthia Diane Raymond, FNP

  • Family Nurse Practitioner
  • Claremont, CA
National Provider Identifier
1508226663
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003541 Issued in CA
Practice address
821 Lancaster Dr
Claremont, CA 91711-2972
Phone
(626) 379-8501
NPI assigned
Mar 2, 2016
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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 95003541 CA Primary

Addresses

Primary practice location

821 Lancaster Dr
Claremont, CA 91711-2972

Mailing address

821 Lancaster Dr
Claremont, CA 91711-2972
Phone (626) 379-8501

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
I20220812001295 CA Practitioner - Nurse Practitioner 0042693731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vvipa Medical Group IncGroup PAC ID 5092185546, 29 clinicians

Practice addresses (Care Compare)

12370 Hesperia Rd
Victorville, CA 92395-4787
Phone (760) 245-4747

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95003541CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vvipa Medical Group Inc CurrentSince Aug 15, 2022 Accepting new patients
High Desert Medical Group CurrentSince Apr 29, 2022 Accepting new patients

Locations

12370 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 245-4747

12370 Hesperia Rd
Ste 9
Victorville, CA 92395
Phone (760) 261-5227

12408 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 553-7000

Interoperability endpoints

  • Direct secure messaging: cynthia.raymond.p2@direct.hvvmg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1508226663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 LANCASTER DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112972",
            "telephone_number": "626-379-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 LANCASTER DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112972",
            "telephone_number": "626-379-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "CYNTHIA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.