Individual provider Active NPI

Celine Marie Nipper, FNP-C

  • Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1649901620
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95023122 Issued in CA
Practice address
4240 Latham St Ste a
Riverside, CA 92501-1741
Phone
(949) 783-7012
NPI assigned
Jun 21, 2022
Reactivated
Dec 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN95187070 CA
Nurse Practitioner 363L00000X 95023122 CA Primary

Addresses

Primary practice location

4240 Latham St Ste a
Riverside, CA 92501-1741

Mailing address

4240 Latham St Ste a
Riverside, CA 92501-1741
Phone (949) 783-7012

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
I20230323001888 CA Practitioner - Nurse Practitioner 7315311875 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN95187070CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Infucare Medical Group of California Inc CurrentSince Apr 24, 2024 Accepting new patients
Infucare Medical Group of California, Inc. CurrentSince Apr 24, 2024 Accepting new patients

Locations

9025 Wilshire Blvd
Ste 205A
Beverly Hills, CA 90211
Phone (858) 314-9222

4065 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 968-1170

39755 Murrieta Hot Springs Rd
Ste F110A
Murrieta, CA 92563

72670 Fred Waring Dr
Palm Desert, CA 92260

4240 Latham St
Ste A
Riverside, CA 92501
Phone (858) 314-9222

7625 Mesa College Dr
Ste 25A
San Diego, CA 92111

7625 Mesa College Dr
Ste 250A
San Diego, CA 92111
Phone (858) 314-9222

2010 E 1st St
Ste 270
Santa Ana, CA 92705
Phone (310) 254-0395

558 Saint Charles Dr
Ste 121
Thousand Oaks, CA 91360
Phone (858) 314-9222

Organizations & group practices 3

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1649901620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 LATHAM ST STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011741",
            "telephone_number": "949-783-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 LATHAM ST STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011741",
            "telephone_number": "949-783-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIPPER",
        "first_name": "CELINE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "deactivation_date": "2022-11-28",
        "reactivation_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95187070",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95023122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.