Jonathan Luis Uribe, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95011772 Issued in CA

Practice address

1007 W Avenue M14
Palmdale, CA 93551-1443

Phone

(661) 265-7810

NPI assigned

May 13, 2019

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• A.V. Meridien Medical Group, Inc

  • Nephrology Physician
  • Palmdale, CA
  • NPI 1023191780
  Medicare reassignment NPD
• Desert Nutrition Rd, LLC

  • Registered Dietitian
  • Lancaster, CA
  • NPI 1861181042
  NPD (past)

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1952967218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43651 DEVYN LN",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935355858",
            "telephone_number": "818-524-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W AVENUE M14",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511443",
            "telephone_number": "661-265-7810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 W Avenue M14",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935511443",
            "country_code": "US",
            "telephone_number": "661-265-7810",
            "fax_number": "661-265-8762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URIBE",
        "first_name": "JONATHAN",
        "middle_name": "LUIS",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95011772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Urbach
• Emely Urbano
• Valerie M Urbina-Moreno
• Natalie Michelle Urias
• Carlos G. Uribe
• Priscilla Julianne Uribe, M.S.W.
• Leilani Yumnuen Urueta-Cerriteno
• Usv Optical Inc.
• Sanjaya Satriya Utama
• Ronil Vaghjiani, MD

• Acute Care Nurse Practitioner in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.