Individual provider Active NPI

Aurelia Whitehead, NP

  • Family Nurse Practitioner
  • Fontana, CA
National Provider Identifier
1558988295
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014717 Issued in CA
Practice address
15486 Daybreak LN
Fontana, CA 92337-0976
Phone
(562) 544-7618
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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 95014717 CA Primary

Addresses

Primary practice location

15486 Daybreak LN
Fontana, CA 92337-0976

Mailing address

15486 Daybreak LN
Fontana, CA 92337-0976
Phone (562) 544-7618

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
I20200922002247 CA Practitioner - Nurse Practitioner 7810316353 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onyx Medical Group IncGroup PAC ID 3870016579, 11 clinicians

Practice addresses (Care Compare)

12813 Avalon Blvd
Los Angeles, CA 90061-2731
Phone (310) 819-8310

1451 Rimpau Ave
Suite 212
Corona, CA 92879-7522
Phone (951) 346-0041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95014717CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onyx Medical Group Inc CurrentSince Aug 4, 2025 Accepting new patients
Remedial Medical Services Inc CurrentSince Dec 1, 2020 Accepting new patients
Remedial Patients Care Inc CurrentSince Mar 7, 2024 Accepting new patients
Whitehead Private Care Services PastSince Jul 5, 2020 Accepting new patients

Locations

1451 Rimpau Ave
Ste 213
Corona, CA 92879
Phone (951) 268-6272

1451 Rimpau Ave
Ste 212
Corona, CA 92879
Phone (951) 346-0041

3576 Arlington Ave
Ste 205
Riverside, CA 92506
Phone (951) 530-8972

Interoperability endpoints

  • Direct secure messaging: ms_awhit231@landmarkhealth-direct.org

Organizations & group practices 5

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1558988295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15486 DAYBREAK LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923370976",
            "telephone_number": "562-544-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15486 DAYBREAK LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923370976",
            "telephone_number": "562-544-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "AURELIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.