Richel P Agra

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

591385 Issued in CA

Practice address

15251 Holiday Dr
Fontana, CA 92336-4472

Phone

(909) 327-2886

NPI assigned

Mar 30, 2023

Last updated

May 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Carelinx Solution LLC

  • Clinic/Center
  • Upland, CA
  • NPI 1528762663
  NPD Authorized official
• Medcare Plus Home Health Providers, Inc.

  dba Blue Diamond Home Health Provider

  • Home Health Agency
  • Upland, CA
  • NPI 1669815064
  NPD Authorized official

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1881398006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7252 ARCHIBALD AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917015017",
            "telephone_number": "909-327-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15251 HOLIDAY DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364472",
            "telephone_number": "909-327-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRA",
        "first_name": "RICHEL",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "591385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tolulope Afolabi, MS, DPM
• Siamak Afshar, D.D.S.
• Akash Agarwal
• Samuel Agbonkpolo
• Anthony Aghajani, MD
• Alejandra Aguiar
• Ashley Ann Aguila
• Francisca Aguilar
• Maribel Aguilar, LVN
• Vladimir Aguilar, ACNPC-AG

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.