CHERILOU CRUZ CONCEPCION NP
NPI 1679191951
Nurse Practitioner - Family in Ontario, CA
About Cherilou Cruz Concepcion Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHERILOU CRUZ CONCEPCION NP (NPI 1679191951) is an individual family provider in Ontario, California, licensed in California (95014780) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Cherilou Cruz Concepcion Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Cherilou Concepcion reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ontario, CA 91764
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91764 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ONTARIO, CA 91764
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 Cherilou Concepcion's NPI number?
The NPI number for Cherilou Concepcion is 1679191951. It was assigned to this individual provider in the NPPES registry on July 13, 2020.
Where is Cherilou Concepcion located?
Cherilou Concepcion practices at 3333 Concours St Building 1, Suite 1201, Ontario, CA 91764. The listed phone number is (909) 476-4077.
What is Cherilou Concepcion's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Cherilou Concepcion enrolled in Medicare?
Yes. Cherilou Concepcion is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Cherilou Concepcion's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cherilou Concepcion reassigns Medicare benefits to The Dermatology Bar, A Medical Corporation (Ontario, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cherilou Concepcion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Cherilou Concepcion was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Cherilou Cruz Concepcion, NP · NPI 1679191951
Family physician in Ontario, California. Individual provider, active in the CMS NPPES registry since July 13, 2020.
## Identity
- **NPI:** 1679191951 (Entity type: Individual)
- **Enumerated:** July 13, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95014780 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3333 CONCOURS ST, BUILDING 1, SUITE 1201, Ontario, CA 91764-9176
- **Phone:** (909) 476-4077 · **Fax:** (909) 476-4088
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Dermatology Bar, A Medical Corporation (NPI 1073334181, Ontario, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1679191951) · Data from the CMS NPPES public registry.