Individual provider Active NPI

Cynthia Youpele, FNP

  • Family Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1669850053
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002306 Issued in CA
Practice address
1335 N Waterman Ave
San Bernardino, CA 92404-5385
Phone
(909) 885-0268
Fax
(909) 888-5982
NPI assigned
May 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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 95002306 CA Primary

Addresses

Primary practice location

1335 N Waterman Ave
San Bernardino, CA 92404-5385

Mailing address

PO Box 12209
San Bernardino, CA 92423-2209
Phone (909) 335-4188

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
I20150831000452 CA Practitioner - Nurse Practitioner 8123334679 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Urgent Care Group, Inc CurrentSince Jul 20, 2017 Accepting new patients
Bolivar Family Medical Clinic a Medical Corporation Current Accepting new patients
Bolivar Family Medical Clinic a Medical Corporation CurrentSince Dec 1, 2022 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Jun 11, 2017 Accepting new patients
Mountain View Emergency Physicians Medical Group, Inc. CurrentSince Dec 14, 2020 Accepting new patients
Mountain View Urgent Care Group, Inc CurrentSince Jul 20, 2017 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Jun 11, 2017 Accepting new patients

Locations

12442 Limonite Ave
Unit 102
Eastvale, CA 91752
Phone (951) 393-3000

16465 Sierra Lakes Pkwy
Ste 100
Fontana, CA 92336
Phone (909) 434-1150

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

8250 White Oak Ave
Ste 106
Rancho Cucamonga, CA 91730
Phone (909) 360-4722

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

10327 Hole Ave
Riverside, CA 92505
Phone (909) 351-1600

598 N F St
Sn Bernrdno, CA 92410
Phone (909) 888-8152

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18095/brand/2/csg/1/fhir/r4

Organizations & group practices 7

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": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1669850053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12209",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924232209",
            "telephone_number": "909-335-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045385",
            "telephone_number": "909-885-0268",
            "fax_number": "909-888-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUPELE",
        "first_name": "CYNTHIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.