Individual provider Active NPI

Lovella Cantos Delos Santos, FNP-C

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1912704669
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95034166 Issued in CA
Practice address
9619 Foothill Blvd
Rancho Cucamonga, CA 91730-3507
Phone
(909) 630-8484
NPI assigned
Feb 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 95034166 CA Primary

Addresses

Primary practice location

9619 Foothill Blvd
Rancho Cucamonga, CA 91730-3507

Mailing address

9619 Foothill Blvd
Rancho Cucamonga, CA 91730-3507
Phone (909) 360-1885

Other practice location 1

9619 Foothill Blvd
Rancho Cucamonga, CA 91730-3507
Phone (909) 360-1885

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

State licenses

LicenseStateTypeSpecialty
95034166CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Primary Care Clinic, a Nursing Professional Corporation Family CurrentSince Sep 8, 2025 Accepting new patients

Locations

9619 Foothill Blvd
Rancho Cucamonga, CA 91730
Phone (909) 360-1885

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": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1912704669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9619 FOOTHILL BLVD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303507",
            "telephone_number": "909-360-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9619 FOOTHILL BLVD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303507",
            "telephone_number": "909-630-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9619 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917303507",
            "country_code": "US",
            "telephone_number": "909-360-1885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELOS SANTOS",
        "first_name": "LOVELLA",
        "middle_name": "CANTOS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034166",
            "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 Sep 5, 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.