HEALTHCONNECT PRACTITIONERS INC
NPI 1972120111
Nurse Practitioner in Pomona, CA

Active since July 04, 2020
1361 ESTEL DR, POMONA, CA 91768(909) 868-8547 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2020, Jul 4, 2020 (2 updates tracked since 2020).

About Healthconnect Practitioners Inc NPPES

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

HEALTHCONNECT PRACTITIONERS INC (NPI 1972120111) is a healthcare organization registered as a nurse practitioner in Pomona, California and active in the NPI registry since July 2020. The organization lists Judy Yi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972120111
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameHEALTHCONNECT PRACTITIONERS INC
Location Address1361 ESTEL DRPomona, CA 91768-2361
Mailing Address1361 Estel DrPomona, CA 91768-2361 · (909) 868-8547
Organization SubpartNo
Authorized OfficialJudy YiCeo · (909) 868-8547
Enumeration DateJuly 4, 2020
Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
✔ NPI 1972120111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
1361 ESTEL DR, Pomona, CA 91768

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Healthconnect Practitioners Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healthconnect Practitioners Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1750814919
1361 ESTEL DR
Pomona, CA 91768
(909) 868-8547
✔ PECOSSame address

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 Healthconnect Practitioners Inc's NPI number?

The NPI number for Healthconnect Practitioners Inc is 1972120111. It was assigned to this organization in the NPPES registry on July 4, 2020.

Where is Healthconnect Practitioners Inc located?

Healthconnect Practitioners Inc is located at 1361 Estel Dr, Pomona, CA 91768. The listed phone number is (909) 868-8547.

What is Healthconnect Practitioners Inc's specialty?

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

Is Healthconnect Practitioners Inc enrolled in Medicare?

Yes. Healthconnect Practitioners Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthconnect Practitioners Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Healthconnect Practitioners Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healthconnect Practitioners Inc was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.