Individual provider Active NPI

Nancy Si Jia Meng, NP-C

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1760134852
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018415 Issued in CA
Practice address
9170 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-5416
Phone
(909) 476-8700
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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 95018415 CA Primary

Addresses

Primary practice location

9170 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-5416

Mailing address

9170 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-5416
Phone (909) 476-8700

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
I20220602002604 CA Practitioner - Nurse Practitioner 0749668721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, 66 clinicians

Practice addresses (Care Compare)

9170 Haven Ave
Suite 120
Rancho Cucamonga, CA 91730-5416
Phone (909) 476-8700

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group Inc CurrentSince Sep 23, 2023 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Midwest Post-Acute Care of California PC Nurse Practitioner CurrentSince Feb 22, 2022 Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Chino Medical Group, Inc Family Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

5454 Walnut Ave
Chino, CA 91710
Phone (760) 450-5679

840 Towne Center Dr
Pomona, CA 91767

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

9170 Haven Ave
Ste 120
Rancho Cucamonga, CA 91730
Phone (909) 467-8700

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1760134852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9170 HAVEN AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305416",
            "telephone_number": "909-476-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9170 HAVEN AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305416",
            "telephone_number": "909-476-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENG",
        "first_name": "NANCY",
        "middle_name": "SI JIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-11-07",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.