Individual provider Active NPI

Puja Neupane, NP

  • Acute Care Nurse Practitioner
  • Corona, CA
National Provider Identifier
1629325105
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
21278 Issued in CA
Practice address
2083 Compton Ave Ste 103
Corona, CA 92881-7288
Phone
(251) 458-2251
NPI assigned
Aug 14, 2012
Last updated
Aug 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 21278 CA Primary

Addresses

Primary practice location

2083 Compton Ave Ste 103
Corona, CA 92881-7288

Mailing address

38000 Camden St Apt 20
Fremont, CA 94536-5150
Phone (251) 458-2251

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
I20130403000255 CA Practitioner - Nurse Practitioner 9234374745 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
California Wound Healing Medical Group Inc.Group PAC ID 7315033198, 21 clinicians

Practice addresses (Care Compare)

100 E Huntington Dr
Alhambra, CA 91801-1022
Phone (323) 264-7796

Merit-based Incentive Payment System (MIPS)

Final score
78.03 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
33.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21278CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Integrative Physicians CurrentSince Sep 1, 2020 Accepting new patients
California Wound Healing Medical Group Inc. CurrentSince Feb 20, 2025 Accepting new patients
Global Wound Care Medical Group CurrentSince Mar 15, 2023 Accepting new patients
Wound Healing Care Specialists, Inc. CurrentSince Mar 14, 2023 Accepting new patients
Inland Empire Nephrology, Inc. CurrentSince Aug 23, 2021 Accepting new patients
Rancho Wound Care Center, PC CurrentSince Aug 21, 2025 Accepting new patients
Quantum Healthcare Medical Associates Inc. CurrentSince Oct 8, 2014 Accepting new patients
Healing Edge Medical Group - Ca CurrentSince Dec 9, 2025 Accepting new patients
New Hope Podiatry Group Inc. PastSince Dec 29, 2024 Accepting new patients

Locations

100 E Huntington Dr
Ste 203
Alhambra, CA 91801

100 E Huntington Dr
Ste 209
Alhambra, CA 91801
Phone (323) 262-4146

5800 W Wilson St
Banning, CA 92220
Phone (323) 262-4146

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

4000 Barranca Pkwy
Ste 250
Irvine, CA 92604
Phone (949) 577-0047

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

3536 Concours
Ste 225
Ontario, CA 91764
Phone (314) 699-9181

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

10621 Church St
Ste 120
Rch Cucamonga, CA 91730
Phone (909) 944-0481

11343 Base Line Rd
Rch Cucamonga, CA 91730

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1629325105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38000 CAMDEN ST APT 20",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365150",
            "telephone_number": "251-458-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 COMPTON AVE STE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817288",
            "telephone_number": "251-458-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUPANE",
        "first_name": "PUJA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "21278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.