Individual provider Active NPI

Miranda Nicole Torres, NP

  • Gerontology Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1386524932
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95033643 Issued in CA
Practice address
10565 Civic Center Dr
West BLDG Suite 165
Rancho Cucamonga, CA 91730-3853
Phone
(909) 985-2211
Fax
(909) 985-2244
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X 95033643 CA Primary

Addresses

Primary practice location

10565 Civic Center Dr
West BLDG Suite 165
Rancho Cucamonga, CA 91730-3853

Mailing address

10565 Civic Center Dr
West BLDG Suite 165
Rancho Cucamonga, CA 91730-3853
Phone (909) 985-2211

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
I20251206000287 CA Practitioner - Nurse Practitioner 3173016177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10565 Civic Ctr Dr
Suite 250
Rancho Cucamonga, CA 91730

10565 Civic Ctr Dr
Suite 250
Rancho Cucamonga, CA 91730-3854

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95033643CAMDGerontology Nurse Practitioner

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation Single Specialty CurrentSince Nov 3, 2025 Accepting new patients
Algos Inc., a Medical Corporation Single Specialty CurrentSince Nov 3, 2025 Accepting new patients
Algos Inc., a Medical Corporation Single Specialty Current Accepting new patients

Locations

13193 Central Ave
Ste 220
Chino, CA 91710
Phone (909) 591-0843

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

1900 Royalty Dr
Ste 120
Pomona, CA 91767
Phone (909) 450-0377

10565 Civic Center Dr
Ste 165
Rch Cucamonga, CA 91730
Phone (888) 824-2144

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1386524932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 CIVIC CENTER DR",
            "address_2": "WEST BLDG SUITE 165",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303853",
            "telephone_number": "909-985-2211",
            "fax_number": "909-985-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10565 CIVIC CENTER DR",
            "address_2": "WEST BLDG SUITE 165",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303853",
            "telephone_number": "909-985-2211",
            "fax_number": "909-985-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "MIRANDA",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95033643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.