RANCHO PRIMARY CARE CLINIC, A NURSING PROFESSIONAL CORPORATION
NPI 1104706456
Nurse Practitioner - Family in Rancho Cucamonga, CA
About Rancho Primary Care Clinic, A Nursing Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANCHO PRIMARY CARE CLINIC, A NURSING PROFESSIONAL CORPORATION (NPI 1104706456), doing business as Rancho Primary Care Clinic, is a healthcare organization registered as a family in Rancho Cucamonga, California and active in the NPI registry since September 2025. The organization lists Lovella Cantos Delos Santos, Family Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RANCHO CUCAMONGA, CA 91730
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rancho Primary Care Clinic, A Nursing Professional Corporation's NPI number?
The NPI number for Rancho Primary Care Clinic, A Nursing Professional Corporation is 1104706456. It was assigned to this organization in the NPPES registry on September 5, 2025. The provider is doing business as Rancho Primary Care Clinic.
Where is Rancho Primary Care Clinic, A Nursing Professional Corporation located?
Rancho Primary Care Clinic, A Nursing Professional Corporation is located at 9619 Foothill Blvd, Rancho Cucamonga, CA 91730. The listed phone number is (909) 360-1885.
What is Rancho Primary Care Clinic, A Nursing Professional Corporation's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Rancho Primary Care Clinic, A Nursing Professional Corporation was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rancho Primary Care Clinic, A Nursing Professional Corporation · NPI 1104706456
Family organization in Rancho Cucamonga, California. Organization record, active in the CMS NPPES registry since September 5, 2025.
## Identity
- **NPI:** 1104706456 (Entity type: Organization)
- **Enumerated:** September 5, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Rancho Primary Care Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Lovella Delos Santos, FAMILY NURSE PRACTITIONER
## Practice location
- **Address:** 9619 FOOTHILL BLVD, Rancho Cucamonga, CA 91730-3507
- **Phone:** (909) 360-1885
## Record status
- **NPPES last updated:** September 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104706456) · Data from the CMS NPPES public registry.