Active NPI
Chelsea Fujita-Haffner, NP-C
- Family Nurse Practitioner
- Glendora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95012060
- Practice address
- 552 W Foothill Blvd # 200
Glendora, CA 91741-2470 - Phone
- (626) 963-2490
- NPI assigned
- Oct 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95012060 | CA | Primary |
Addresses
Primary practice location
552 W Foothill Blvd # 200
Glendora, CA 91741-2470
Mailing address
PO Box 860
Glendora, CA 91740-0860
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
488 E Santa Clara St
Suite 103
Arcadia, CA 91006-7231
Phone (626) 359-3330
Hospital & facility affiliations
- Usc Arcadia Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95012060 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyline Urology | Current | Accepting new patients | |
| Urology Institute of the South Bay | Current | Accepting new patients | |
| Genesis Healthcare Partners PC | Current | Accepting new patients |
Locations
488 E Santa Clara St
Ste 203
Arcadia, CA 91006
Phone (626) 359-3330
488 E Santa Clara St
Ste 103
Arcadia, CA 91006
Phone (626) 359-3330
225 W Broadway
Ste 350
Glendale, CA 91204
Phone (626) 808-4754
552 W Foothill Blvd
Ste 200
Glendora, CA 91741
Phone (626) 359-3330
9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944
50 Alessandro Pl
Ste 410
Pasadena, CA 91105
Phone (626) 793-7114
23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400
Organizations & group practices 3
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.
-
- Specialist
- Encinitas, CA
- NPI 1548567498
-
- Specialist
- Torrance, CA
- NPI 1730136573
-
- Urology Physician
- Torrance, CA
- NPI 1801804760
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arcadia, CA
- NPI 1508851288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1841832847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917400860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 W FOOTHILL BLVD # 200",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917412470",
"telephone_number": "626-963-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUJITA-HAFFNER",
"first_name": "CHELSEA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95012060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.