Individual provider Active NPI

Kurt Dillon Dritlein, DNP, MSN, MBA, BSN

  • Primary Care Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1902682131
Registry record updated Feb 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95027032 Issued in CA
Practice address
1894 Commercenter W Ste 106
San Bernardino, CA 92408-3310
Phone
(909) 333-7448
NPI assigned
Sep 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95027032 CA Primary

Addresses

Primary practice location

1894 Commercenter W Ste 106
San Bernardino, CA 92408-3310

Mailing address

23972 Blue Ridge PL
Moreno Valley, CA 92557-2941
Phone (951) 796-7936

Other names 1

  • Kurt Dillon Dritlein Professional name

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
Credentials
Bachelor on Science - Nursing, Master of Business Administration, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
95027032CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Physical Exams, a Nursing Professional Corporation CurrentSince Mar 11, 2025 Accepting new patients

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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1902682131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23972 BLUE RIDGE PL",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572941",
            "telephone_number": "951-796-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 COMMERCENTER W STE 106",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083310",
            "telephone_number": "909-333-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRITLEIN",
        "first_name": "KURT",
        "middle_name": "DILLON",
        "credential": "DNP, MSN, MBA, BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95027032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KURT",
            "last_name": "DRITLEIN",
            "middle_name": "DILLON",
            "credential": "DNP, MSN, MBA, BSN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.