Active NPI
Mary Joanne Strubhar-Brown, RN, MSN, FNP
- Family Nurse Practitioner
- Upland, CA
National Provider Identifier
1700981867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 311328
- Practice address
- 299 W Foothill Blvd Ste 209
Upland, CA 91786-3806 - Phone
- (909) 982-4000
- Fax
- (909) 981-7800
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 311328 | CA | Primary |
Addresses
Primary practice location
299 W Foothill Blvd Ste 209
Upland, CA 91786-3806
Mailing address
299 W Foothill Blvd Ste 209
Upland, CA 91786-3806
Phone (909) 982-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311328 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8427 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renovi Center for Integrative Medicine and Arts, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Renovi Center for Integrative Medicine
- Family Medicine Physician
- Claremont, CA
- NPI 1033349691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1700981867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 W FOOTHILL BLVD STE 209",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863806",
"telephone_number": "909-982-4000",
"fax_number": "909-981-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 W FOOTHILL BLVD STE 209",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863806",
"telephone_number": "909-982-4000",
"fax_number": "909-981-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRUBHAR-BROWN",
"first_name": "MARY",
"middle_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "RN, MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "311328",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "311328",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.