Individual provider Active NPI

Kiara Zamorano

  • Family Nurse Practitioner
  • Upland, CA
National Provider Identifier
1588476113
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033043 Issued in CA
Practice address
1310 San Bernardino Rd Ste 105
Upland, CA 91786-4985
Phone
(909) 429-2864
NPI assigned
Jan 21, 2025
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95033043 CA Primary

Addresses

Primary practice location

1310 San Bernardino Rd Ste 105
Upland, CA 91786-4985

Mailing address

1310 San Bernardino Rd Ste 105
Upland, CA 91786-4985
Phone (909) 429-2864

Other practice location 1

7777 Milliken Ave Ste 240
Rancho Cucamonga, CA 91730-6781
Phone (909) 429-2864

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
I20250828003847 CA Practitioner - Nurse Practitioner 8628579950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cucamonga Valley Medical Group IncGroup PAC ID 6709899883, 24 clinicians

Practice addresses (Care Compare)

1310 San Bernardino Rd
Suite 105
Upland, CA 91786-4985
Phone (909) 985-1891

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cucamonga Valley Medical Group, Inc. CurrentSince May 30, 2025 Accepting new patients

Locations

12442 Limonite Ave
Unit 205
Eastvale, CA 91752
Phone (909) 429-2864

16465 Sierra Lakes Pkwy
Ste 300
Fontana, CA 92336
Phone (909) 429-2864

7777 Milliken Ave
Ste 240
Rch Cucamonga, CA 91730
Phone (909) 429-2864

1310 San Bernardino Rd
Ste 105
Upland, CA 91786
Phone (909) 429-2864

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1588476113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD STE 105",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864985",
            "telephone_number": "909-429-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD STE 105",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864985",
            "telephone_number": "909-429-2864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Milliken Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917306781",
            "country_code": "US",
            "telephone_number": "909-429-2864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMORANO",
        "first_name": "KIARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.