Individual provider Active NPI

Micheline Helou, FNP-C

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1609405992
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013802 Issued in CA
Practice address
9939 Magnolia Ave
Riverside, CA 92503-3528
Phone
(917) 808-3046
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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 95013802 CA Primary

Addresses

Primary practice location

9939 Magnolia Ave
Riverside, CA 92503-3528

Mailing address

5700 Park Dr Unit 3205
Chino Hills, CA 91709-4966
Phone (917) 808-3046

Other practice location 1

7350 Church St
Yucca Valley, CA 92284-3246
Phone (760) 369-3069

Other identifiers 1

IdentifierTypeStateIssuer
95013802OtherCACA BOARD OF REGISTERED NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vmoore@akaskoobgyn.com Other

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
I20210727003701 CA Practitioner - Nurse Practitioner 6507269610 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95013802CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers Current Accepting new patients
Javier R. Rios MD a Professional Corporation CurrentSince Jul 3, 2021 Accepting new patients
Javier R Rios MD, a Professional Corporation CurrentSince Jul 3, 2021 Accepting new patients
Golden Valley Health Center CurrentSince Jan 21, 2025 Accepting new patients
Golden Valley Health Centers CurrentSince Jan 21, 2025 Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations

495 E Rincon St
Ste 215
Corona, CA 92879

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1801 Tully Rd
Ste F1
Modesto, CA 95350

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

9675 Monte Vista Ave
Ste C
Montclair, CA 91763
Phone (855) 745-8600

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

21091 Rider St
Ste 218
Perris, CA 92570
Phone (951) 354-2229

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

9939 Magnolia Ave
Riverside, CA 92503
Phone (951) 687-8802

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Interoperability endpoints

  • Direct secure messaging: micheline.helou.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: micheline.helou.1@14940.direct.athenahealth.com

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1609405992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 PARK DR UNIT 3205",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094966",
            "telephone_number": "917-808-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9939 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033528",
            "telephone_number": "917-808-3046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7350 Church St",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922843246",
            "country_code": "US",
            "telephone_number": "760-369-3069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELOU",
        "first_name": "MICHELINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF REGISTERED NURSING",
            "identifier": "95013802",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmoore@akaskoobgyn.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "company email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company email",
            "address_1": "63532 Twentynine Palms Highway",
            "city": "Joshua Tree",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.