Organization Active NPI

Icare Practitioners and Nursing Concierge Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Montclair, CA
National Provider Identifier
1740900729
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ICARE PRACTITIONERS AND NURSING CONCIERGE INC
Practice address
9655 Monte Vista Ave Ste 402a
Montclair, CA 91763-2238
Phone
(909) 701-8649
NPI assigned
Aug 31, 2022
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Dr. Rerhime Reri Uku, DNPNPI 1659906147
Title
Pmhnp-BC
Phone
(909) 701-8649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

9655 Monte Vista Ave Ste 402a
Montclair, CA 91763-2238

Mailing address

9655 Monte Vista Ave Ste 402a
Montclair, CA 91763-2238
Phone (909) 701-8649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221109000459 CA Part B Supplier - Clinic/Group Practice 3678940301 Receives reassigned benefits from 3 practitioners
Practice locations: Montclair, CA

National Provider Directory

National Provider Directory

Locations

801 W Victoria St
Ste G
Compton, CA 90220
Phone (909) 701-8649

9655 Monte Vista Ave
Ste 402A
Montclair, CA 91763
Phone (909) 670-0472

699 W Rialto Ave
San Bernardino, CA 92410
Phone (909) 701-8649

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1740900729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 MONTE VISTA AVE STE 402A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632238",
            "telephone_number": "909-701-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 MONTE VISTA AVE STE 402A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632238",
            "telephone_number": "909-701-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE PRACTITIONERS AND NURSING CONCIERGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "UKU",
        "authorized_official_first_name": "RERHIME",
        "authorized_official_middle_name": "RERI",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "909-701-8649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.