MRS. CHRISTA DANIELLE KRELLWITZ (NPI# 1821442393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821442393 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTA DANIELLE KRELLWITZ |
| Credential | NP-C |
| Practice Address |
1113 Alta Ave Ste 220 Upland CA 91786-2803 |
| Practice Telephone | 9099851908 |
| Mailing Telephone | 9099851908 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
NP95004007 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | FK5985140 | 01 |
| Street Address |
1113 ALTA AVE STE 220 |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467407767 | Joanne Marie Lister | Nurse Practitioner | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2006-05-24 |
| 1619528395 | Jessica Viviana Ardon | Internal Medicine | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2019-09-24 |
| 1912254210 | Nisreen Abdalla | Nurse Practitioner | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2012-08-06 |
| 1841425279 | Jody A Bouma | Nurse Practitioner | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2009-05-29 |
| 1366689762 | Yvonne Schwetz | Nurse Practitioner | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2009-01-07 |
| 1467632414 | Susan Biegel Md Inc | Internal Medicine | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2007-11-07 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407492267 | H Street Clinic Inc | Clinic/Center | 360 E 7th St Ste B, Upland, CA 91786-6701 | 2019-11-26 |
| 1427019397 | Lionel B Katchem, D.o., A Prof. Corp. | Clinic/Center | 1246 E Arrow Hwy Ste B, Upland, CA 91786-4955 | 2006-03-30 |
| 1598389363 | James C Ho M.d. Medical Corporation | Clinic/Center | 1330 San Bernardino Rd Ste G, Upland, CA 91786-4980 | 2020-06-07 |
| 1679951578 | Nahel Al Bouz Md A Professional Medical Corp | Clinic/Center | 811 E 11th St Ste 203, Upland, CA 91786-4872 | 2015-05-11 |
| 1821271420 | Morris Kokhab, M.d., A Medical Corporation | Clinic/Center | 974 W Foothill Blvd, Upland, CA 91786-3728 | 2007-12-06 |
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| 1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
| 1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
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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.