Individual provider Active NPI

Rebecca Nuila-Chae, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendora, CA
National Provider Identifier
1851171060
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95026738 Issued in CA
Practice address
510 S Grand Ave Ste 200
Glendora, CA 91741-4291
Phone
(626) 914-1980
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95026738 CA Primary

Addresses

Primary practice location

510 S Grand Ave Ste 200
Glendora, CA 91741-4291

Mailing address

510 S Grand Ave Ste 200
Glendora, CA 91741-4291
Phone (626) 914-1980

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
I20231227001531 CA Practitioner - Nurse Practitioner 6406206861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Gillespie and Associates IncGroup PAC ID 7517181373, 16 clinicians

Practice addresses (Care Compare)

510 S Grand Ave
Suite 200
Glendora, CA 91741-4291
Phone (626) 914-1980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95026738CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Gillespie and Associates Inc. CurrentSince Nov 12, 2023 Accepting new patients

Locations

510 S Grand Ave
Ste 200
Glendora, CA 91741
Phone (626) 914-1980

1626 Montana Ave
Ste 645
Santa Monica, CA 90403

Organizations & group practices 1

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": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1851171060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S GRAND AVE STE 200",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414291",
            "telephone_number": "626-914-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S GRAND AVE STE 200",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414291",
            "telephone_number": "626-914-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUILA-CHAE",
        "first_name": "REBECCA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95026738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.