Active NPI
Heather Arlene Hinojosa
- Adult Health Nurse Practitioner
- La Verne, CA
National Provider Identifier
1972225795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 95022507
- Practice address
- 2187 Foothill Blvd Ste a
La Verne, CA 91750-2943 - Phone
- (909) 596-1941
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95022507 | CA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 95022507 | CA |
Addresses
Primary practice location
2187 Foothill Blvd Ste a
La Verne, CA 91750-2943
Mailing address
136 N Rock River Dr
Diamond Bar, CA 91765-1262
Phone (626) 991-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95022507 | Other | CA | CA BRN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95022507 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1972225795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 N ROCK RIVER DR",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917651262",
"telephone_number": "626-991-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2187 FOOTHILL BLVD STE A",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917502943",
"telephone_number": "909-596-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINOJOSA",
"first_name": "HEATHER",
"middle_name": "ARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95022507",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "95022507",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BRN",
"identifier": "95022507",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.