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

Charlotte Capulong, NP-C

Individual provider Nurse Practitioner · NPI 1417370065

Charlotte Capulong, NP-C is a Nurse Practitioner in Glendora, California. Qualified in 2013, 13 years ago. Practices with Mayflower Medical Group Inc, a 7-clinician group. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2014
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

130 W Route 66 Ste 326
Glendora, CA 91740-6252
Phone: (626) 963-8588
Fax: (626) 963-8578
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP23824 (CA)

Record details

NPI number1417370065
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedJanuary 31, 2014
Last updated in NPPESJanuary 31, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mayflower Medical Group Inc — 7 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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