Eliza M Zamora-Rada, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26379 Issued in CA

Practice address

1239 Riviera Dr
Calimesa, CA 92320-1092

Phone

(909) 996-3472

NPI assigned

Nov 28, 2006

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• R & R Physical Therapy Corporation

  • Physical Therapist
  • Calimesa, CA
  • NPI 1639430028
  Medicare reassignment

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1295801314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 RIVIERA DR",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201092",
            "telephone_number": "909-996-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 RIVIERA DR",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201092",
            "telephone_number": "909-996-3472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11062 Boren Ave",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923546516",
            "country_code": "US",
            "telephone_number": "909-653-4456",
            "fax_number": "909-653-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMORA-RADA",
        "first_name": "ELIZA",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Vanwaardenburg, PPS
• Walgreen Co (Walgreens #10366)
• Caroline Mumbi Wamuyu, RN
• Brittney Williams, LMFT
• James R Wise, DDSMS
• Madison Zapata

• Physical Therapist in Calimesa, CA
• Providers in Calimesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.