Individual provider Active NPI

Elena Riley, NP

  • Family Nurse Practitioner
  • Fontana, CA
National Provider Identifier
1992651418
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95038577 Issued in CA
Practice address
16465 Sierra Lakes Pkwy Ste 115
Fontana, CA 92336-1242
Phone
(909) 823-8000
NPI assigned
Mar 6, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 95038577 CA Primary

Addresses

Primary practice location

16465 Sierra Lakes Pkwy Ste 115
Fontana, CA 92336-1242

Mailing address

11450 Church St Apt 168
Apt 168
Rancho Cucamonga, CA 91730-3992
Phone (909) 563-0875

Other practice location 1

1851 N Riverside Ave
Rialto, CA 92376-8069
Phone (909) 421-2700

Other practice location 2

1684 Plum Ln Ste 101
Redlands, CA 92374-2866
Phone (909) 798-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Las Vegas, NV 89133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95038577CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1992651418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11450 CHURCH ST APT 168",
            "address_2": "APT 168",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303992",
            "telephone_number": "909-563-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16465 SIERRA LAKES PKWY STE 115",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361242",
            "telephone_number": "909-823-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 N Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923768069",
            "country_code": "US",
            "telephone_number": "909-421-2700",
            "fax_number": "909-874-0826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1684 Plum Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923742866",
            "country_code": "US",
            "telephone_number": "909-798-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "ELENA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95038577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.