Healthcare Provider Details

I. General information

NPI: 1326740952
Provider Name (Legal Business Name): ALAINA MARIE HELT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W COUNTY LINE RD STE B
CALIMESA CA
92320-1101
US

IV. Provider business mailing address

18558 SANTA FE AVE
SAN BERNARDINO CA
92407-1343
US

V. Phone/Fax

Practice location:
  • Phone: 909-228-0379
  • Fax:
Mailing address:
  • Phone: 909-228-0379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95024409
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: