Individual provider Active NPI

Renee Higa-Tanner

  • Family Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1942943170
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019713 Issued in CA
Practice address
24680 Jefferson Ave Ste a
Murrieta, CA 92562-9023
Phone
(951) 677-2252
NPI assigned
Apr 15, 2022
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 95019713 CA Primary

Addresses

Primary practice location

24680 Jefferson Ave Ste a
Murrieta, CA 92562-9023

Mailing address

24680 Jefferson Ave Ste a
Murrieta, CA 92562-9023
Phone (951) 677-2252

Other practice location 1

1049 Queenspark Rd
Corona, CA 92878-4279
Phone (714) 333-7035

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015004779 CA Practitioner - Nurse Practitioner 3375919772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity Physician Services PCGroup PAC ID 0749620888, 58 clinicians
Vituity Healthcare Services PCGroup PAC ID 2668812710, 27 clinicians

Practice addresses (Care Compare)

1499 E Highland Ave
San Bernardino, CA 92404-4611
Phone (855) 422-8029

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95019713CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity Physician Services PC CurrentSince Oct 1, 2024 Accepting new patients
Vituity Healthcare Services PC CurrentSince Feb 10, 2025 Accepting new patients
Jason a. Black M.D., Inc. CurrentSince Jun 12, 2022 Accepting new patients
Universal Health Services of Rancho Springs Inc PastSince Jun 12, 2022 Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

24680 Jefferson Ave
Ste A
Murrieta, CA 92562
Phone (951) 677-2252

1499 E Highland Ave
Sn Bernrdno, CA 92404
Phone (855) 422-8029

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1942943170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24680 JEFFERSON AVE STE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629023",
            "telephone_number": "951-677-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24680 JEFFERSON AVE STE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629023",
            "telephone_number": "951-677-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1049 Queenspark Rd",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928784279",
            "country_code": "US",
            "telephone_number": "714-333-7035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGA-TANNER",
        "first_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.