NATHALI CANEDO
NPI 1730967860
Nurse Practitioner in Ontario, CA

Active since September 19, 2023PECOS EnrolledAccepts Medicare Assignment
1344 W E ST, ONTARIO, CA 91762(909) 781-8935 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nathali Canedo NPPES

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

NATHALI CANEDO (NPI 1730967860) is an individual nurse practitioner in Ontario, California, licensed in California (95027204) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730967860
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNATHALI CANEDO
Location Address1344 W E STOntario, CA 91762-2404
Mailing Address1344 W E StOntario, CA 91762-2404
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1730967860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95027204
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1344 W E ST, Ontario, CA 91762

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

Nathali Canedo 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.

PECOS PAC ID5799225561
PECOS Enrollment IDI20240906002946
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Nathali Canedo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
5000 SAN BERNARDINO ST
Montclair, CA 91763
  • Reassigned Medicare billing, California enrollment
  • 98 clinicians in this Medicare group
Emergency Medicine
5451 WALNUT AVE
Chino, CA 91710
  • Reassigned Medicare billing, California enrollment
  • 99 clinicians in this Medicare group
Emergency Medical Services
16850 BEAR VALLEY RD
Victorville, CA 92395
  • Reassigned Medicare billing, California enrollment
  • 53 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 91762 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nathali Canedo's NPI number?

The NPI number for Nathali Canedo is 1730967860. It was assigned to this individual provider in the NPPES registry on September 19, 2023.

Where is Nathali Canedo located?

Nathali Canedo practices at 1344 W E St, Ontario, CA 91762. The listed phone number is (909) 781-8935.

What is Nathali Canedo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nathali Canedo enrolled in Medicare?

Yes. Nathali Canedo 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 organizations bill Medicare for Nathali Canedo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathali Canedo reassigns Medicare benefits to 3 organizations: Montclair Emergency Medical Associates (Montclair, CA), Chino Emergency Medical Associates, Inc. (Chino, CA) and Ignite Emergency Physicians A Medical Corporation (Victorville, CA). Each 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 Nathali Canedo'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 Nathali Canedo was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.