Active NPI
Andrea Lee Glover, FNP-C
- Nurse Practitioner
- Chino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95010810
- Practice address
- 12196 Dunlap PL
Chino, CA 91710-2330 - Phone
- (909) 573-5192
- NPI assigned
- Jan 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95010810 | CA | Primary |
Addresses
Primary practice location
12196 Dunlap PL
Chino, CA 91710-2330
Mailing address
12196 Dunlap PL
Chino, CA 91710-2330
Phone (909) 573-5192
Other practice location 1
5451 Walnut Ave
Chino, CA 91710-2609
Phone (909) 464-8600
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 |
|---|---|---|---|---|
| I20190320003000 | CA | Practitioner - Nurse Practitioner | 7214277656 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Epic Medical Group,IncGolden State Medical GroupHassan Chahine MD Inc
Practice addresses (Care Compare)
4940 Van Nuys Blvd
Suite 200
Sherman Oaks, CA 91403-1741
Phone (818) 528-1260
4959 Palo Verde St
Suite 206a 5
Montclair, CA 91763-2342
Phone (909) 694-4016
845 N Lark Ellen Ave
West Covina, CA 91791-1069
Phone (626) 339-5451
Hospital & facility affiliations
- Parentis Home Health
- Garden Grove Hospital & Medical Center
- Uci Health-Orange
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010810 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Medical Group,Inc | Current | Accepting new patients | |
| Hassan Chahine MD Inc | Current | Accepting new patients | |
| Golden State Medical Group | Current | Accepting new patients |
Locations
5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600
501 W Glenoaks Blvd
Ste 26
Glendale, CA 91202
23141 Verdugo Dr
Ste 201
Laguna Hills, CA 92653
Phone (310) 922-2537
4959 Palo Verde St
Ste 206A-5
Montclair, CA 91763
Phone (909) 694-4016
1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745
4940 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403
Phone (818) 528-1222
4955 Van Nuys Blvd
Ste 308
Van Nuys, CA 91403
Phone (818) 387-6114
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
845 N Lark Ellen Ave
West Covina, CA 91791
Phone (626) 339-5451
Interoperability endpoints
- https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Sherman Oaks, CA
- NPI 1295178689
CA
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Laguna Hills, CA
- NPI 1740699180
-
- General Acute Care Hospital
- Garden Grove, CA
- NPI 1659538858
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1962976019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12196 DUNLAP PL",
"city": "CHINO",
"state": "CA",
"postal_code": "917102330",
"telephone_number": "909-573-5192",
"fax_number": "909-773-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12196 DUNLAP PL",
"city": "CHINO",
"state": "CA",
"postal_code": "917102330",
"telephone_number": "909-573-5192"
}
],
"practiceLocations": [
{
"address_1": "5451 Walnut Ave",
"address_purpose": "LOCATION",
"city": "Chino",
"state": "CA",
"postal_code": "917102609",
"country_code": "US",
"telephone_number": "909-464-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLOVER",
"first_name": "ANDREA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-11",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95010810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.