Rebecca Sue Alfonzo, NP-C
Individual provider Active NPI Family Nurse Practitioner · Hesperia, CA
NPI 1730788977 · NPPES record last updated Oct 20, 2020
Key facts
- NPI
- 1730788977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95015713 (CA)
- Practice address
- 15791 Bear Valley Rd
Hesperia, CA 92345-1746 - Phone
- (760) 949-1231
- NPI assigned
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95015713 | CA | MD | Family Nurse Practitioner |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr, Mikel Walk in Clinic | Past | Accepting new patients | |
| Corwin Medical Group Inc Ipa | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- r.alfonzo@dmwici-ca.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95015713 | CA | Yes |
Addresses
Primary practice location
15791 Bear Valley Rd
Hesperia, CA 92345-1746
Mailing address
15791 Bear Valley Rd
Hesperia, CA 92345-1746
Phone (760) 949-1231
Other providers in Hesperia, CA
- Akr Trasnportation LLC
- Abigail Alarcon
- Mona Albatniji
- Linda Alcala
- Alexander Valenzuela Licensed Marriage and Family Therapist
- Amber Rose Alitory
- Alliance Physicians
- Shazette Allison
- Aloha Senior Living LLC
- Enedina Alvarado
All providers in Hesperia, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.