Eliza M Zamora-Rada, P.T.
Individual provider Active NPI Physical Therapist · Calimesa, CA
NPI 1295801314 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1295801314
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT26379 (CA)
- Practice address
- 1239 Riviera Dr
Calimesa, CA 92320-1092 - Phone
- (909) 996-3472
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060208000311 | CA | Practitioner - Physical Therapist in Private Practice | 3577578814 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26379 | CA | Yes |
Addresses
Primary practice location
1239 Riviera Dr
Calimesa, CA 92320-1092
Mailing address
1239 Riviera Dr
Calimesa, CA 92320-1092
Phone (909) 996-3472
Other practice location 1
11062 Boren Ave
Loma Linda, CA 92354-6516
Phone (909) 653-4456
Other providers in Calimesa, CA
All providers in Calimesa, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.