Individual provider Active NPI

Clemrose Go, NP

  • Family Nurse Practitioner
  • Pico Rivera, CA
National Provider Identifier
1831664085
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010209 Issued in CA
Practice address
8825 Whittier Blvd
Pico Rivera, CA 90660-2657
Phone
(562) 699-3333
Fax
(562) 699-7009
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 95010209 CA Primary

Addresses

Primary practice location

8825 Whittier Blvd
Pico Rivera, CA 90660-2657

Mailing address

8825 Whittier Blvd
Pico Rivera, CA 90660-2657
Phone (562) 810-1998

Other practice location 1

809 S Main St
Santa Ana, CA 92701-5719
Phone (714) 973-7770

Other practice location 2

11603 Imperial Hwy
Norwalk, CA 90650-2817
Phone (562) 243-7863

Other practice location 3

2200 Harbor Blvd
Costa Mesa, CA 92627-2501
Phone (949) 548-2273

Other practice location 4

101 E Beverly Blvd Ste 404
Montebello, CA 90640-4317
Phone (323) 722-6861

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
I20230809001153 CA Practitioner - Nurse Practitioner 5799147682 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95010209CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Remedial Patients Care Inc CurrentSince Aug 30, 2024 Accepting new patients
Southern California Medical Center, Inc. CurrentSince Jun 11, 2023 Accepting new patients
Vital Medical Group, Inc CurrentSince Sep 10, 2024 Accepting new patients
Southern California Medical Center, Inc. Current Accepting new patients
Remedial Medical Services Inc CurrentSince Sep 5, 2024 Accepting new patients
Southern California Medical Center, Inc. Past Accepting new patients
Saint Youstina PastSince Oct 1, 2019 Accepting new patients
Ac and CS PastSince Sep 10, 2024 Accepting new patients
Isaac Beshay M D Inc. PastSince Aug 1, 2019 Accepting new patients

Locations

1451 Rimpau Ave
Ste 213
Corona, CA 92879
Phone (951) 268-6272

12100 Valley Blvd
Ste 109A
El Monte, CA 91732
Phone (626) 575-7500

12100 Valley Blvd
Ste 109
El Monte, CA 91732

1314 W Glenoaks Blvd
Ste 205
Glendale, CA 91201
Phone (818) 396-5158

1627 E Anaheim St
Long Beach, CA 90813
Phone (562) 437-0373

8825 Whittier Blvd
Pico Rivera, CA 90660
Phone (562) 699-3333

3576 Arlington Ave
Ste 205
Riverside, CA 92506
Phone (951) 530-8972

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: clemrose.go.p1@direct.scmedcenter.nextgenshare.com
  • Direct secure messaging: clemrose.go.p1@direct.scfhc.nextgenshare.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1831664085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 WHITTIER BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602657",
            "telephone_number": "562-810-1998",
            "fax_number": "562-699-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 WHITTIER BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602657",
            "telephone_number": "562-699-3333",
            "fax_number": "562-699-7009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 S Main St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927015719",
            "country_code": "US",
            "telephone_number": "714-973-7770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11603 Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906502817",
            "country_code": "US",
            "telephone_number": "562-243-7863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926272501",
            "country_code": "US",
            "telephone_number": "949-548-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Beverly Blvd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "CA",
            "postal_code": "906404317",
            "country_code": "US",
            "telephone_number": "323-722-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GO",
        "first_name": "CLEMROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pico Rivera, CA

Sources for this page

Verify at the official NPI Registry.