Active NPI
Miranda Nicole Torres, NP
- Gerontology Nurse Practitioner
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 95033643
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95033643 | CA | MD | Gerontology Nurse Practitioner |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Algos Inc., a Medical Corporation | Single Specialty | Current | Accepting new patients |
| Algos Inc., a Medical Corporation | Single Specialty | Current | 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.
-
- Pain Medicine Physician
- Pasadena, CA
- NPI 1497747356
CA, Single Specialty
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Santa Clarita, CA
- NPI 1124669544
Single Specialty
-
- Pain Medicine Physician
- Visalia, CA
- NPI 1245832419
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.