PRATIBHA KAYASTHA (NPI# 1942601281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942601281 |
| Entity Type | Individual |
| Full Name | PRATIBHA KAYASTHA |
| Practice Address |
585 N Mountain Ave Suite A Upland CA 91786-8516 |
| Mailing Address |
840 Towne Center Dr Pomona CA 91767-5900 |
| Practice Telephone | 9099462228 |
| Practice Fax Number | 9099468007 |
| Mailing Telephone | 9093981550 |
| Mailing Fax Number | 9093981573 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
827747 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
585 N MOUNTAIN AVE SUITE A |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-8516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922051739 | Charles M. Tran | Dermatology | 585 N Mountain Ave, Suite A, Upland, CA 91786-8516 | 2006-05-19 |
| 1558724336 | Celina Chau | Acupuncturist | 585 N Mountain Ave, Suite C-1, Upland, CA 91786-8516 | 2016-03-30 |
| 1982072682 | Kristin Mickelson | Physician Assistant | 585 N Mountain Ave, Suite A, Upland, CA 91786-8516 | 2015-09-11 |
| 1043538010 | Inland Empire Medical Network,inc. | Internal Medicine | 585 N Mountain Ave, Suite C, Upland, CA 91786-8516 | 2010-05-14 |
| 1558689794 | Chaparral Medical Group, Inc. | Dermatology | 585 N Mountain Ave, Suite C, Upland, CA 91786-8516 | 2010-05-12 |
| 1548406952 | Shannon Lambert | Physician Assistant | 585 N Mountain Ave, Suite A, Upland, CA 91786-8516 | 2009-01-06 |
| 1376722884 | Anthony James Antenorcruz Jr. | Physician Assistant | 585 N Mountain Ave, Suite A, Upland, CA 91786-8516 | 2007-10-31 |
| 1235175902 | William Francis Kivett | Dermatology | 585 N Mountain Ave, Suite A, Upland, CA 91786-8516 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223251 | Timothy M Goco | Nurse Practitioner | 300 N Euclid Ave Ste B, Upland, CA 91786-8323 | 2020-04-15 |
| 1720628605 | Chun Tien Shen | Nurse Practitioner | 980 E Foothill Blvd Ste 101, Upland, CA 91786-4068 | 2020-01-08 |
| 1306306766 | Girlielyn Sy Tiu | Nurse Practitioner | 630 N 13th Ave Ste A, Upland, CA 91786-4978 | 2019-03-21 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1093252926 | Catalina J. Howland | Nurse Practitioner | 885 Kimberly Ct, Upland, CA 91784-1208 | 2017-01-30 |
| 1962946418 | Alexandro Fernandez | Nurse Practitioner | 1032 W 23rd St, Upland, CA 91784-1215 | 2016-12-16 |
| 1467825901 | Caremore Health Plan | Nurse Practitioner | 141 W. Foothill Blvd., Upland, CA 91786 | 2015-11-05 |
| 1821492836 | Advanced Healthcare for Women & Children, A Nursing Corporation | Nurse Practitioner | 600 N Mountain Ave Ste A104, Upland, CA 91786-4359 | 2014-10-20 |
| 1518360437 | Honeyleen Reyes | Nurse Practitioner | 918 W Foothill Blvd Ste A, Upland, CA 91786-3772 | 2014-10-06 |
| 1073915690 | Janilyn Sherman | Nurse Practitioner | 1060 E Foothill Blvd Ste 103, Upland, CA 91786-4070 | 2014-09-26 |
| Find all providers in UPLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.