Individual provider Active NPI

Grace Pagaran Zamorano, FNP-C

  • Chore Provider
  • Rancho Cucamonga, CA
National Provider Identifier
1093167371
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
License
95004316 Issued in CA
Practice address
10787 Laurel St
#270
Rancho Cucamonga, CA 91730-3828
Phone
(909) 982-7741
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X 95004316 CA Primary

Addresses

Primary practice location

10787 Laurel St
#270
Rancho Cucamonga, CA 91730-3828

Mailing address

10535 Foothill Blvd
#270
Rancho Cucamonga, CA 91730-3843
Phone (323) 627-3943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95004316CAMDChore Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Star Med Home Health Care Current Accepting new patients

Locations

10535 Foothill Blvd
Ste 270
Rancho Cucamonga, CA 91730
Phone (909) 989-7224

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHDFCA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1093167371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 FOOTHILL BLVD",
            "address_2": "#270",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303843",
            "telephone_number": "323-627-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10787 LAUREL ST",
            "address_2": "#270",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303828",
            "telephone_number": "909-982-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORANO",
        "first_name": "GRACE",
        "middle_name": "PAGARAN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "CA",
            "license": "95004316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.