Pratibha Kayastha

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

827747 Issued in CA

Practice address

585 N Mountain Ave
Suite a
Upland, CA 91786-8516

Phone

(909) 946-2228

Fax

(909) 946-8007

NPI assigned

Sep 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

78.03 of 100Reported as group

Quality

78.11

Improvement activities

40

Cost

33.57

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkx534pcs@m1746.primeclinicalsystems.direct-ci.com

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.

• Carrasco Podiatry Corporation

  • Podiatrist
  • Rancho Cucamonga, CA
  • NPI 1043339260
  Medicare reassignment NPD
• Chaparral Medical Group, Inc.

  • Dermatology Physician
  • Rancho Cucamonga, CA
  • NPI 1093777666
  Medicare reassignment NPD
• Chaparral Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1477733624
  Medicare reassignment NPD
• Providence Podiatry Care, Inc

  • Foot & Ankle Surgery Podiatrist
  • San Bernardino, CA
  • NPI 1376202986
  Medicare reassignment NPD
• Wound Physicians of California PC

  • Geriatric Medicine (Family Medicine) Physician
  • Laguna Hills, CA
  • NPI 1235916420
  Medicare reassignment NPD
• Chaparral Medical Group Inc.

  • Cardiovascular Disease Physician
  • Upland, CA
  • NPI 1639869605
  NPD
• Chaparral Medical Group, Inc.

  dba Southern California Center for Neuro Science and Spine,Inc.

  • Neurological Surgery Physician
  • San Bernardino, CA
  • NPI 1194993055
  NPD
• Chaparral Medical Group, Inc.

  • Internal Medicine Physician
  • Pomona, CA
  • NPI 1437111028
  NPD

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1942601281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N MOUNTAIN AVE",
            "address_2": "SUITE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868516",
            "telephone_number": "909-946-2228",
            "fax_number": "909-946-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYASTHA",
        "first_name": "PRATIBHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "827747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Jones-Chudasama,Ma,LMFT
• Anchana Kasemsuwan, PHARM D
• Christina Janet Kassar, DDS
• Marilyn Katz, O.D.
• Neil Katz, O.D.
• Jennifer Elaine Keane, LMFT
• Samer Kebbeh, MD
• Nicole Leilani Keller, DPT
• Anthony Kelley
• Thomas Hudson Kelley, D.D.S.

• Family Nurse Practitioner in Upland, CA
• Providers in Upland, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.

Verify at the official NPI Registry.