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

Reshma Re Koenig

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1780471128

Reshma Re Koenig is a Nurse Practitioner in Fontana, California. Qualified in 2021, 5 years ago. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

14021 Ranchero Dr
Fontana, CA 92337-8351
Phone: (951) 300-3285
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95020591 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence NP95020591 (CA)

Record details

NPI number1780471128
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 21, 2025
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address14021 Ranchero Dr, Fontana, CA 92337-8351

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Fontana