RESTORE PSYCHIATRY AND WELLNESS, A PROFESSIONAL NURSING CORPORATION
NPI 1730947276
Nurse Practitioner - Psychiatric/Mental Health in Ontario, CA

Active since March 11, 2024
3200 E GUASTI RD STE 100, ONTARIO, CA 91761(626) 714-8739(866) 740-4693 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2025, May 15, 2025 (2 updates tracked since 2025).

About Restore Psychiatry And Wellness, A Professional Nursing Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESTORE PSYCHIATRY AND WELLNESS, A PROFESSIONAL NURSING CORPORATION (NPI 1730947276) is a healthcare organization registered as a psychiatric/mental health in Ontario, California and active in the NPI registry since March 2024. The organization lists Marianna Chavez, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1730947276
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRESTORE PSYCHIATRY AND WELLNESS, A PROFESSIONAL NURSING CORPORATION
Location Address3200 E GUASTI RD STE 100Ontario, CA 91761-8661
Mailing Address3200 E Guasti Rd Ste 100Ontario, CA 91761-8661 · (626) 714-8739 · Fax (866) 740-4693
Fax(866) 740-4693
Organization SubpartNo
Authorized OfficialMarianna ChavezPmhnp-bc · (626) 714-8739
Enumeration DateMarch 11, 2024
Last NPPES UpdateMay 22, 20252 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1730947276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
3200 E GUASTI RD STE 100, Ontario, CA 91761

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restore Psychiatry And Wellness, A Professional Nursing Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Restore Psychiatry And Wellness, A Professional Nursing Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1932981867
3200 E GUASTI RD STE 100
Ontario, CA 91761
(626) 714-8739
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609266089
1210 5TH AVE
Worthington, MN 56187
(507) 376-4141
✔ PECOS1,351 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Restore Psychiatry And Wellness, A Professional Nursing Corporation's NPI number?

The NPI number for Restore Psychiatry And Wellness, A Professional Nursing Corporation is 1730947276. It was assigned to this organization in the NPPES registry on March 11, 2024.

Where is Restore Psychiatry And Wellness, A Professional Nursing Corporation located?

Restore Psychiatry And Wellness, A Professional Nursing Corporation is located at 3200 E Guasti Rd Ste 100, Ontario, CA 91761. The listed phone number is (626) 714-8739.

What is Restore Psychiatry And Wellness, A Professional Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Restore Psychiatry And Wellness, A Professional Nursing Corporation enrolled in Medicare?

Yes. Restore Psychiatry And Wellness, A Professional Nursing Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restore Psychiatry And Wellness, A Professional Nursing Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Restore Psychiatry And Wellness, A Professional Nursing Corporation. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Restore Psychiatry And Wellness, A Professional Nursing Corporation was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.