Individual provider Active NPI

Stephanie Ottavianni Gomez-Filippi, RN, LPN/LVN

  • Registered Nurse
  • Upland, CA
National Provider Identifier
1922795863
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95338468 Issued in CA
Practice address
239 W 9TH St
Upland, CA 91786-5979
Phone
(909) 981-6121
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 733089 CA
Registered Nurse 163W00000X 95338468 CA Primary

Addresses

Primary practice location

239 W 9TH St
Upland, CA 91786-5979

Mailing address

11860 Manhattan CT
Rancho Cucamonga, CA 91730-8220
Phone (507) 531-2222

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95338468CAMDRegistered Nurse
733089CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
His House New Creation Treatment Center CurrentSince Jul 28, 2024 Accepting new patients
G & C Swan Inc CurrentSince Jun 18, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1922795863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 MANHATTAN CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308220",
            "telephone_number": "507-531-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W 9TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865979",
            "telephone_number": "909-981-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-FILIPPI",
        "first_name": "STEPHANIE",
        "middle_name": "OTTAVIANNI",
        "credential": "RN, LPN/LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "733089",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95338468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.