Julie Azer Rizkallah, FNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95265386 Issued in CA

Practice address

1004 W Foothill Blvd Ste 200
Upland, CA 91786-3791

Phone

(909) 206-5956

NPI assigned

Jun 29, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1841035987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11273 TERRA VISTA PKWY APT E",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307417",
            "telephone_number": "909-525-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W FOOTHILL BLVD STE 200",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863791",
            "telephone_number": "909-206-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZKALLAH",
        "first_name": "JULIE",
        "middle_name": "AZER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95265386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Rivera
• Priscilla Renee Rivera
• Yvette Rivera, DMD
• Robert Justin Rivers, PA-C
• Riverside County Regional Medical Center
• Syed Muhammad Hammad Rizvi, MD
• Jacob Roach, M.S., BCBA
• Steven Roberson
• Robert a Armada D O Inc
• Robert H. Sorosky M.D. Inc.

• Registered Nurse in Upland, CA
• Providers in Upland, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.