Individual provider Active NPI

Dana Rose Homer-Bertrand, DO

  • Family Medicine Physician
  • Claremont, CA
National Provider Identifier
1578821914
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A12960 Issued in CA
Practice address
1601 Monte Vista Ave Ste 190
Claremont, CA 91711-6600
Phone
(909) 865-9977
Fax
(909) 469-2119
NPI assigned
Apr 23, 2012
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A12960 CA Primary

Addresses

Primary practice location

1601 Monte Vista Ave Ste 190
Claremont, CA 91711-6600

Mailing address

1601 Monte Vista Ave Ste 190
Claremont, CA 91711-6600
Phone (909) 865-9977

Other practice location 1

3110 Chino Ave Ste 150B
Chino Hills, CA 91709-1295
Phone (909) 630-7868

Other practice location 2

2333 Foothill Blvd Ste C
LA Verne, CA 91750-3027
Phone (909) 392-6511

Other identifiers 1

IdentifierTypeStateIssuer
1578821914MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310001213 CA Practitioner - Family Practice 4981843273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1601 Monte Vista Ave
Suite 190
Claremont, CA 91711-6600
Phone (909) 865-9977

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
12960CAMDProfessional Counselor
20A12960CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Feb 1, 2016 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Feb 1, 2016 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients

Locations

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

3110 Chino Ave
Ste 150B
Chino Hills, CA 91709
Phone (909) 630-7868

1601 Monte Vista Ave
Ste 100
Claremont, CA 91711
Phone (909) 630-7938

1601 Monte Vista Ave
Ste 190
Claremont, CA 91711
Phone (909) 865-9977

2333 Foothill Blvd
Ste C
La Verne, CA 91750
Phone (909) 392-6511

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

Organizations & group practices 4

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1578821914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 190",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116600",
            "telephone_number": "909-865-9977",
            "fax_number": "909-469-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 190",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116600",
            "telephone_number": "909-865-9977",
            "fax_number": "909-469-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 Chino Ave Ste 150B",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917091295",
            "country_code": "US",
            "telephone_number": "909-630-7868",
            "fax_number": "909-469-2109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2333 Foothill Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917503027",
            "country_code": "US",
            "telephone_number": "909-392-6511",
            "fax_number": "909-469-2137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMER-BERTRAND",
        "first_name": "DANA",
        "middle_name": "ROSE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578821914",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.