Individual provider Active NPI

Shyla Sarmiento Kuria, REGISTERED NURSE

  • Registered Nurse
  • Moreno Valley, CA
National Provider Identifier
1316247133
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95139668 Issued in CA
Practice address
27730 Sand Dollar Way
Moreno Valley, CA 92555-5766
Phone
(951) 300-8294
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95139668 CA Primary

Addresses

Primary practice location

27730 Sand Dollar Way
Moreno Valley, CA 92555-5766

Mailing address

27730 Sand Dollar Way
Moreno Valley, CA 92555-5766
Phone (951) 300-8294

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
95139668CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1316247133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27730 SAND DOLLAR WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555766",
            "telephone_number": "951-300-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27730 SAND DOLLAR WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555766",
            "telephone_number": "951-300-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIA",
        "first_name": "SHYLA",
        "middle_name": "SARMIENTO",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95139668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.