Individual provider Active NPI

Andrea Lee Glover, FNP-C

  • Nurse Practitioner
  • Chino, CA
National Provider Identifier
1962976019
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95010810 Issued in CA
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

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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,IncGroup PAC ID 4385883958, 54 clinicians
Golden State Medical GroupGroup PAC ID 0042622441, 6 clinicians
Hassan Chahine MD IncGroup PAC ID 0547691297, 7 clinicians

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 Home health agency, Laguna Hills, CA, CCN 059760
  • Garden Grove Hospital & Medical Center Hospital, Garden Grove, CA, CCN 050230
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95010810CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Medical Group,Inc CurrentSince Feb 12, 2019 Accepting new patients
Hassan Chahine MD Inc CurrentSince Sep 1, 2024 Accepting new patients
Golden State Medical Group CurrentSince Jan 29, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.