Active NPI
Renee N Payne, FNP
- Family Nurse Practitioner
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95001593
- Practice address
- 1135 S Sunset Ave Ste 401
West Covina, CA 91790-3921 - Phone
- (626) 732-8390
- Fax
- (626) 974-1522
- NPI assigned
- Jun 16, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95001593 | CA | Primary |
Addresses
Primary practice location
1135 S Sunset Ave Ste 401
West Covina, CA 91790-3921
Mailing address
830 S Citrus Ave
Azusa, CA 91702-5942
Phone (626) 974-1441
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95001593 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citrus Valley Physician Partners | Current | Accepting new patients | |
| Emanate Health Medical Group | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Emanate Health Medical Care Foundation | Current | Accepting new patients | |
| Emanate Health Medical Group | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Current | Accepting new patients |
Locations
830 S Citrus Ave
Azusa, CA 91702
Phone (626) 339-6514
14375 Pipeline Ave
Chino, CA 91710
Phone (626) 918-6544
210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580
440 W Foothill Blvd
Glendora, CA 91741
Phone (626) 963-9402
415 W Carroll Ave
Fl 2
Glendora, CA 91741
1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200
1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390
1135 S Sunset Ave
Ste 401
West Covina, CA 91790
Phone (626) 732-8390
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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.
-
dba Synovation Medical Group
- Pain Medicine Physician
- Pasadena, CA
- NPI 1497747356
-
- Multi-Specialty Clinic/Center
- West Covina, CA
- NPI 1467195073
-
dba Foothill Family Practice
- Family Medicine Physician
- Glendora, CA
- NPI 1326582743
-
dba Synovation Medical Group
- Pain Medicine Physician
- Visalia, CA
- NPI 1245832419
-
- Specialist
- West Covina, CA
- NPI 1043703150
-
- General Practice Physician
- Covina, CA
- NPI 1881054997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1972984839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 S CITRUS AVE",
"city": "AZUSA",
"state": "CA",
"postal_code": "917025942",
"telephone_number": "626-974-1441",
"fax_number": "626-974-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 S SUNSET AVE STE 401",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903921",
"telephone_number": "626-732-8390",
"fax_number": "626-974-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "RENEE",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95001593",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1135 S Sunset Ave Ste 401",
"city": "West Covina",
"state": "CA",
"country_code": "US",
"postal_code": "917903921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Covina, CA
- Patton Chiropractic Inc
- Diana Karen Patton
- Trislyn Paulino
- Samantha Pavano
- Emily Louise Pavlisin
- Ricardo Paz, L.P.T
- PCC Health Services Inc (Emmanuel Health Care & Rehab Center West Covina)
- PCC Health Services Inc (Emmanuel Health Care West Covina)
- Amanda Kathleen Pearson
- Pediatrix Medical Group of California, a Professional Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.