Active NPI
Chaiti Utley, FNP-C
- Family Nurse Practitioner
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95002217
- Practice address
- 491 E Alessandro Blvd
Riverside, CA 92508-6071 - Phone
- (866) 389-2727
- NPI assigned
- Jul 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95002217 | CA | Primary |
Addresses
Primary practice location
491 E Alessandro Blvd
Riverside, CA 92508-6071
Mailing address
491 E. Alessandro Blvd.
Riverside, CA 92508-3436
Phone (866) 389-2727
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150929001082 | CA | Practitioner - Nurse Practitioner | 5799093548 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minuteclinic Diagnostic Medical Group of Orange County Inc
Practice addresses (Care Compare)
1150 Baker St
Costa Mesa, CA 92626-4111
Phone (866) 389-2727
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.98 of 100
- Quality
- 66.36
- Improvement activities
- 40
- Cost
- 81.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95002217 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Primary Care California | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic Medical Group of Orange County Inc | Family | Current | Accepting new patients |
Locations
1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210
8850 Valley View St
Buena Park, CA 90620
Phone (714) 827-7321
2510 El Camino Real
Carlsbad, CA 92008
Phone (760) 729-8941
1150 Baker St
Costa Mesa, CA 92626
Phone (714) 622-7517
2456 S Grove Ave
Ontario, CA 91761
Phone (909) 947-9390
11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098
491 E Alessandro Blvd
Riverside, CA 92508
Phone (951) 780-1835
921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473
29610 Rancho California Rd
Temecula, CA 92591
Phone (951) 699-0192
33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154
18080 Imperial Hwy
Yorba Linda, CA 92886
Phone (714) 504-4665
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Irvine, CA
- NPI 1104013879
CA, Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1922483668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491 E. ALESSANDRO BLVD.",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925083436",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 E ALESSANDRO BLVD",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925086071",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTLEY",
"first_name": "CHAITI",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-23",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95002217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.