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

Wala Izzat Alkhataybeh

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1821945114

Wala Izzat Alkhataybeh is a Nurse Practitioner in Rancho Cucamonga, California. Qualified in 2025, 1 year ago. Practices with Brainpower Wellness Institute Nursing Corporation, a 19-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2026

Practice location Address checks out

7832 Danner Ct
Rancho Cucamonga, CA 91730-6866
Phone: (909) 701-5111
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 95038934 (CA)

Record details

NPI number1821945114
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 14, 2026
Last updated in NPPESMarch 14, 2026
Certification dateMarch 14, 2026
Mailing address7832 Danner Ct, Rancho Cucamonga, CA 91730-6866

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Brainpower Wellness Institute Nursing Corporation — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rancho Cucamonga