Active NPI
Advanced Healthcare for Women and Children a Nursing Corporation
- Family Nurse Practitioner
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ADVANCED HEALTHCARE FOR WOMEN AND CHILDREN A NURSING CORPORATION
- Practice address
- 600 N Mountain Ave Ste A104
Upland, CA 91786-4359 - Phone
- (909) 518-7966
- NPI assigned
- Oct 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Monica Palma, NP
- Title
- President
- Phone
- (909) 518-7966
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
600 N Mountain Ave Ste A104
Upland, CA 91786-4359
Mailing address
869 E Foothill Blvd Ste G
Upland, CA 91786-4063
Phone (909) 518-7966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230608001984 | CA | Part B Supplier - Clinic/Group Practice | 7416314331 |
Receives reassigned benefits from 1 practitioner Practice locations: Upland, CA |
National Provider Directory
National Provider DirectoryLocations
600 N Mountain Ave
Ste A104
Upland, CA 91786
Phone (909) 581-4667
600 N Mountain Ave
Ste 104
Upland, CA 91786
869 E Foothill Blvd
Ste G
Upland, CA 91786
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687219200000",
"number": "1821492836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "869 E FOOTHILL BLVD STE G",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864063",
"telephone_number": "909-518-7966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N MOUNTAIN AVE STE A104",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864359",
"telephone_number": "909-518-7966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED HEALTHCARE FOR WOMEN AND CHILDREN A NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-20",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A",
"authorized_official_last_name": "PALMA",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-518-7966",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
- Camille Adeimy, MD
- Adept Home Health Services Inc
- Adept Inc
- Clemens Adeyemi
- Advanced Bodyworks of California, Inc.
- Advanced Healthcare for Women and Children a Nursing Corporation
- Advanced Medical and Urgent Care Center
- Advanced Skin Clinic & Surgery, PC
- Advantage Hospice Providers Inc
- Advantage Vaccination Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.