Individual provider Active NPI

Yolanda Patlan, N.P.

  • Perinatal Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1861504557
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perinatal Nurse PractitionerTaxonomy code 363LP1700X
License
RN442851 Issued in CA
Practice address
23080 Alessandro Blvd Ste 202
Moreno Valley, CA 92553-9674
Phone
(951) 697-7866
Fax
(951) 346-3107
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perinatal Nurse Practitioner 363LP1700X RN442851 CA Primary

Addresses

Primary practice location

23080 Alessandro Blvd Ste 202
Moreno Valley, CA 92553-9674

Mailing address

23080 Alessandro Blvd Ste 202
Moreno Valley, CA 92553-9674
Phone (951) 697-7866

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN442851CAMDPerinatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fontana Physicians Associates a Medical Corporation Past Accepting new patients
San Bernardino Physicians Associates, a Medical Corporation PastSince Feb 1, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861504557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23080 ALESSANDRO BLVD STE 202",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539674",
            "telephone_number": "951-697-7866",
            "fax_number": "951-346-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23080 ALESSANDRO BLVD STE 202",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539674",
            "telephone_number": "951-697-7866",
            "fax_number": "951-346-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATLAN",
        "first_name": "YOLANDA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "CA",
            "license": "RN442851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.