Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Grace Legaspi

Individual provider Registered Nurse · NPI 1821688003

Alyssa Grace Legaspi is a Nurse Practitioner in Colton, California. Qualified in 2022, 4 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1819
Phone: (909) 580-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95026127 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95147151 (CA)

Record details

NPI number1821688003
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 21, 2021
Last updated in NPPESJune 11, 2024
Certification dateJune 10, 2024
Mailing address400 N Pepper Ave, Colton, CA 92324-1801

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Colton