Individual provider Active NPI

Nicole Sharina Laxamana Gabuya, NP

  • Family Nurse Practitioner
  • Rialto, CA
National Provider Identifier
1164170551
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019836 Issued in CA
Practice address
1850 N Riverside Ave Ste 210
Rialto, CA 92376-8082
Phone
(424) 744-6781
NPI assigned
Mar 15, 2022
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95019836 CA Primary

Addresses

Primary practice location

1850 N Riverside Ave Ste 210
Rialto, CA 92376-8082

Mailing address

1850 N Riverside Ave Ste 210
Rialto, CA 92376-8082
Phone (909) 562-0012

Other names 1

  • Nicole Sarmiento Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220504000450 CA Practitioner - Nurse Practitioner 7315334737 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Care CurrentSince Oct 4, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 4, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1164170551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE STE 210",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768082",
            "telephone_number": "909-562-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE STE 210",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768082",
            "telephone_number": "424-744-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABUYA",
        "first_name": "NICOLE SHARINA",
        "middle_name": "LAXAMANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SARMIENTO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

Verify at the official NPI Registry.