Surbhi Udeshi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95007796 Issued in CA

Practice address

9525 Monte Vista Ave Ste 105
Montclair, CA 91763-2231

Phone

(909) 626-1205

NPI assigned

Dec 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Western University of Health Sciences College of Dental Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inland Physicians Hospitalist ServicesGroup PAC ID 5294135612, 14 clinicians

Inland Physicians Primary Care ServicesGroup PAC ID 4385047380, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: s.udeshi@ipmg.directbygreenway.com

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.

• Inland Physicians Hospitalist Services

  • Hospitalist Physician
  • Montclair, CA
  • NPI 1528650223
  Medicare reassignment Care Compare group NPD
• Inland Physicians Primary Care Services

  • Internal Medicine Physician
  • Montclair, CA
  • NPI 1457943151
  Medicare reassignment Care Compare group NPD
• Inland Pulmonary Medical Group

  • Pulmonary Disease Physician
  • Montclair, CA
  • NPI 1073632261
  Medicare reassignment NPD
• Sanjay N. Khedia, M.D., Inc.

  • Internal Medicine Physician
  • Covina, CA
  • NPI 1508172578
  NPD (past)

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1801301718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 MONTE VISTA AVE STE 105",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632231",
            "telephone_number": "909-626-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 MONTE VISTA AVE STE 105",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632231",
            "telephone_number": "909-626-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDESHI",
        "first_name": "SURBHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Tucker
• Jayda Tunstall
• Turnandco
• Tiffany Renee Turner
• Yeranui Erin Tutundzhyan, DDS
• Ifeoma Ugwu
• Riquee Umali
• Anamiriam Urias
• Maria Aguayo Uribe
• Noemy Uribe

• Family Nurse Practitioner in Montclair, CA
• Providers in Montclair, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.