Provider Demographics
NPI:1417618547
Name:ORDONEZ, CINDY STEPHANIE (MSN, PMHNP-BC,FNP-BC)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:STEPHANIE
Last Name:ORDONEZ
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC,FNP-BC
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:STEPHANIE
Other - Last Name:CALVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:540 W BASELINE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-1612
Mailing Address - Country:US
Mailing Address - Phone:909-625-7175
Mailing Address - Fax:
Practice Address - Street 1:8710 MONROE CT STE 150
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4885
Practice Address - Country:US
Practice Address - Phone:909-941-4870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95016750363LP2300X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care