Individual provider Active NPI

Rebekka Yvette Lerma, FNP

  • Family Nurse Practitioner
  • El Centro, CA
National Provider Identifier
1891561213
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027744 Issued in CA
Practice address
1665 South Imperial Avenue
Suite C
El Centro, CA 92243-4247
Phone
(760) 592-4783
Fax
(760) 545-0256
NPI assigned
Nov 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95027744 CA Primary

Addresses

Primary practice location

1665 South Imperial Avenue
Suite C
El Centro, CA 92243-4247

Mailing address

516 West Aten Road
Suite 2
Imperial, CA 92251-9805
Phone (760) 355-7730

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
I20240805001337 CA Practitioner - Nurse Practitioner 2769929058 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95027744CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
USA Imperial Health Corp CurrentSince Sep 1, 2024 Accepting new patients
Imperial Valley Family Care Medical Group, Apc CurrentSince Jun 3, 2024 Accepting new patients
Imperial Valley Family Care Medical Group Apc CurrentSince Jun 3, 2024 Accepting new patients
Whole Person Care Medical Group Inc. PastSince Dec 1, 2023 Accepting new patients
Whole Person Care Clinic PastSince Dec 1, 2023 Accepting new patients

Locations

125 S 5th St
Brawley, CA 92227
Phone (760) 344-8100

1665 S Imperial Ave
Ste C
El Centro, CA 92243
Phone (760) 337-8300

516 W Aten Rd
Ste 2
Imperial, CA 92251
Phone (760) 355-7730

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1891561213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 WEST ATEN ROAD",
            "address_2": "SUITE 2",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922519805",
            "telephone_number": "760-355-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 SOUTH IMPERIAL AVENUE",
            "address_2": "SUITE C",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434247",
            "telephone_number": "760-592-4783",
            "fax_number": "760-545-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERMA",
        "first_name": "REBEKKA",
        "middle_name": "YVETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-06-20",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.