Individual provider Active NPI

Yelitza Alexandra Herrera Chavez, RN, FNP

  • Family Nurse Practitioner
  • Mountain House, CA
National Provider Identifier
1720878101
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033585 Issued in CA
Practice address
523 Hutchings Way
Mountain House, CA 95391-1124
Phone
(408) 219-2788
NPI assigned
May 8, 2025
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 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 Nurse Practitioner 363LF0000X 95033585 CA Primary

Addresses

Primary practice location

523 Hutchings Way
Mountain House, CA 95391-1124

Mailing address

523 Hutchings Way
Mountain House, CA 95391-1124
Phone (408) 219-2788

Other names 1

  • Yelitza Alexandra Ortiz Herrera Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95033585CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1720878101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 HUTCHINGS WAY",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911124",
            "telephone_number": "408-219-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 HUTCHINGS WAY",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911124",
            "telephone_number": "408-219-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA CHAVEZ",
        "first_name": "YELITZA",
        "middle_name": "ALEXANDRA",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YELITZA",
            "last_name": "ORTIZ HERRERA",
            "middle_name": "ALEXANDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain House, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.