Individual provider Active NPI

Veronica Garde, FNP-C

  • Family Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1700696226
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95027251 Issued in CA
Practice address
New Age Gastroenterology
2195 Club Center Dr. Ste a
San Bernardino, CA 92408
Phone
(909) 654-2199
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95027251 CA Primary

Addresses

Primary practice location

New Age Gastroenterology
2195 Club Center Dr. Ste a
San Bernardino, CA 92408

Mailing address

13973 Blossom Way
Eastvale, CA 92880-6409
Phone (520) 213-6249

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
I20250815003298 CA Practitioner - Nurse Practitioner 6507365616 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13973 Blossom Way
Eastvale, CA 92880-6409

1605 Valle del Sol
Redlands, CA 92373-7438

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medex Specialty Network, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Wound Guard Inc CurrentSince Sep 1, 2025 Accepting new patients
Jun R. Chiong, MD, MPH, Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

461 Tennessee St
Ste C
Redlands, CA 92373
Phone (909) 475-7371

414 Tennessee St
Ste Xx
Redlands, CA 92373
Phone (909) 475-7371

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3574/brand/1/csg/1/fhir/r4

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": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1700696226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13973 BLOSSOM WAY",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928806409",
            "telephone_number": "520-213-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW AGE GASTROENTEROLOGY",
            "address_2": "2195 CLUB CENTER DR. STE A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "909-654-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDE",
        "first_name": "VERONICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95027251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.