Rerhime Reri Uku, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95013210 Issued in CA

Practice address

23719 Moulton Pkwy
Laguna Hills, CA 92653-1913

Phone

(949) 587-3700

NPI assigned

Mar 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Icare Practitioners and Nursing Concierge IncGroup PAC ID 3678940301, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Icare Practitioners and Nursing Concierge Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Montclair, CA
  • NPI 1740900729
  Medicare reassignment Care Compare group Authorized official
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Hisham Soliman MD Inc

  dba Advanced Psychiatry Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Folsom, CA
  • NPI 1700199080
  Medicare reassignment NPD
• Montclair Community Clinic

  • Internal Medicine Physician
  • Montclair, CA
  • NPI 1538908074

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Dema Agency Consultants LLC

  dba DEMA Health

  • Psychiatric/Mental Health Nurse Practitioner
  • San Bernardino, CA
  • NPI 1265140875
  NPD (past)
• Optimum Medical Supply Corporation

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
  • NPI 1720650476
  NPD (past)

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1659906147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15189 CALLE VERANO",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095049",
            "telephone_number": "909-732-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23719 MOULTON PKWY",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531913",
            "telephone_number": "949-587-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "699 W Rialto Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924103327",
            "country_code": "US",
            "telephone_number": "312-728-3509",
            "fax_number": "312-312-7364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UKU",
        "first_name": "RERHIME",
        "middle_name": "RERI",
        "name_prefix": "Dr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95013210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kathryn Turner-Lee
• Cambria Ann Tuttle
• Kasey Tweedle
• Twin Town Corporation (Twin Town Treatment Centers, Laguna Hills)
• Wendy Lee Tylka, PTA
• Trisha Ungriano
• United Recovery Ca LLC
• Universal Hair Salons LLC Dba Universe Cranial Prosthesis
• Michelle Urias Canizalez
• Urp Ca Healthcare LLC

• Psychiatric/Mental Health Nurse Practitioner in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.