Individual provider Active NPI

Christine Marie McCabe, FNP-C

  • Family Nurse Practitioner
  • Fontana, CA
National Provider Identifier
1992266357
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011495 Issued in CA
Practice address
4804 Cloudcrest Way
Fontana, CA 92336-0431
Phone
(714) 943-1836
NPI assigned
Mar 28, 2019
Last updated
Mar 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011495 CA Primary

Addresses

Primary practice location

4804 Cloudcrest Way
Fontana, CA 92336-0431

Mailing address

4804 Cloudcrest Way
Fontana, CA 92336-0431
Phone (714) 943-1836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190507000320 CA Practitioner - Nurse Practitioner 9931441268 Reassigns benefits to 3 organizations
I20260128003331 WA Practitioner - Nurse Practitioner 9931441268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

4804 Cloudcrest Way
Fontana, CA 92336-0431

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Corporation of Inland Empire Family CurrentSince Nov 20, 2023 Accepting new patients
Hospitalist Corporation of Inland Empire, Inc. Family CurrentSince Nov 20, 2023 Accepting new patients
Universal Care CurrentSince May 6, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince May 6, 2024 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Jan 14, 2026 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

1880 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 620-7200

22522 29th Dr SE
#L210
Bothell, WA 98021
Phone (509) 774-7874

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: cmccabe9722@direct-prd.molinahealthcare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1992266357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 CLOUDCREST WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360431",
            "telephone_number": "714-943-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 CLOUDCREST WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360431",
            "telephone_number": "714-943-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.