Individual provider Active NPI

Dante D Millon, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chino, CA
National Provider Identifier
1528354628
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95008643 Issued in CA
Practice address
13193 Central Ave Ste 200
Chino, CA 91710-4179
Phone
(909) 902-9111
Fax
(909) 902-9199
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95008643 CA Primary
Registered Nurse 163W00000X 663233 CA

Addresses

Primary practice location

13193 Central Ave Ste 200
Chino, CA 91710-4179

Mailing address

3436 Marvel St
Hemet, CA 92543-8711

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
I20180508000552 CA Practitioner - Nurse Practitioner 4082978689 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95008643CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. CurrentSince Feb 23, 2024 Accepting new patients
Mission City Community Network, Inc. CurrentSince Feb 23, 2024 Accepting new patients
Mission City Community Network, Inc. Current Accepting new patients
Foothills Psychological Services, Inc. CurrentSince Apr 2, 2018 Accepting new patients
Memory Check Psychological Services, a Professional Corporation Psychiatric/Mental Health CurrentSince May 4, 2022 Accepting new patients
Health Service Alliance PastSince Jul 1, 2022 Accepting new patients

Locations

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

13193 Central Ave
Ste 200
Chino, CA 91710
Phone (909) 902-9111

5050 San Bernardino St
Montclair, CA 91763
Phone (909) 281-5800

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602

41990 Cook St
#F2002
Palm Desert, CA 92211
Phone (760) 674-7132

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

9089 Base Line Rd
Ste 100
Rch Cucamonga, CA 91730
Phone (909) 483-0505

348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496

15206 Parthenia St
Sepulveda, CA 91343

600 N Euclid Ave
Ste 204
Upland, CA 91786
Phone (909) 379-1513

954 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 946-4222

7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400

15201 Eleventh St
Ste 300
Victorville, CA 92395
Phone (760) 245-1640

Organizations & group practices 6

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1528354628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 MARVEL ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925438711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE STE 200",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104179",
            "telephone_number": "909-902-9111",
            "fax_number": "909-902-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLON",
        "first_name": "DANTE",
        "middle_name": "D",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95008643",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "663233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.