Active NPI
Averyl Nyra D Narvasa, RN, CPNP
- Pediatric Nurse Practitioner
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95033300
- Practice address
- 25828 Redlands Blvd Ste 101
Redlands, CA 92373-8451 - Phone
- (909) 307-0964
- NPI assigned
- Apr 18, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95397686 | CA | |
| Pediatric Registered Nurse | 163WP0200X | RN2358792 | MA | |
| Pediatric Nurse Practitioner | 363LP0200X | RN2358792 | MA | |
| Pediatric Nurse Practitioner | 363LP0200X | 95033300 | CA | Primary |
Addresses
Primary practice location
25828 Redlands Blvd Ste 101
Redlands, CA 92373-8451
Mailing address
4484 Jones Ave
Riverside, CA 92505-2806
Phone (951) 743-4221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240327001107 | MA | Practitioner - Nurse Practitioner | 1355788290 | Reassigns benefits to 1 organization |
| I20250417001977 | CA | Practitioner - Nurse Practitioner | 1355788290 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95397686 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| The Spaulding Rehabilitation Hospital Corporation | Current | Accepting new patients | |
| Emerson Practice Associates, Inc. | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Locations
7223 Church St
Ste C1
Highland, CA 92346
Phone (909) 425-3946
11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
26780 Barton Rd
Redlands, CA 92373
Phone (909) 558-5174
300 1st Ave
Charlestown, MA 02129
Phone (617) 952-5000
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
Interoperability endpoints
- narvasa.averyl.srh@direct.partners.masshiway.net
- anarvasa1253128@direct.llu.edu
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 and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
CA
-
- Neurological Surgery Physician
- Loma Linda, CA
- NPI 1194775122
-
- Pediatrics Physician
- Highland, CA
- NPI 1689624991
-
- Neurological Surgery Physician
- Murrieta, CA
- NPI 1912004920
-
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1992492250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4484 JONES AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925052806",
"telephone_number": "951-743-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25828 REDLANDS BLVD STE 101",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738451",
"telephone_number": "909-307-0964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARVASA",
"first_name": "AVERYL NYRA",
"middle_name": "D",
"credential": "RN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95397686",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "MA",
"license": "RN2358792",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN2358792",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95033300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.