Individual provider Active NPI

Whitney Nikole Welborn

  • Student in an Organized Health Care Education/Training Program
  • Rancho Cucamonga, CA
National Provider Identifier
1861284499
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
10912 Jersey Blvd
Rancho Cucamonga, CA 91730-5102
Phone
(909) 466-7789
NPI assigned
May 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

10912 Jersey Blvd
Rancho Cucamonga, CA 91730-5102

Mailing address

1260 E Arrow Hwy
Upland, CA 91786-4982
Phone (909) 932-1069

Other practice location 1

1260 E Arrow Hwy
Upland, CA 91786-4982
Phone (909) 932-1069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1861284499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 E ARROW HWY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864982",
            "telephone_number": "909-932-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10912 JERSEY BLVD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305102",
            "telephone_number": "909-466-7789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 E Arrow Hwy",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864982",
            "country_code": "US",
            "telephone_number": "909-932-1069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELBORN",
        "first_name": "WHITNEY",
        "middle_name": "NIKOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.