Active NPI
Laura Reynoso, NP, RN
- Nurse Practitioner
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95027541
- Practice address
- 8263 Grove Ave Ste 201
Rancho Cucamonga, CA 91730-3107 - Phone
- (919) 579-0708
- NPI assigned
- Oct 19, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95027541 | CA | Primary |
Addresses
Primary practice location
8263 Grove Ave Ste 201
Rancho Cucamonga, CA 91730-3107
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
21151 S Western Ave
Suite B22
Torrance, CA 90501-1724
21410 NE 14TH Street
Sammamish, WA 98074
300 Canal St
King City, CA 93930-3457
8390 Champions Gate Blvd
Suite 220
Champions Gate, FL 33896-8310
PO Box
Suite 228
Round Mountain, CA 96084
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95027541 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Country Community Clinic | Current | Accepting new patients | |
| Hill Country Community Clinic | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients |
Locations
6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200
8263 Grove Ave
Ste 201
Rancho Cucamonga, CA 91730
Phone (909) 579-0708
1024 Mistletoe Ln
Ste B
Redding, CA 96002
Phone (530) 232-0845
29632 E Highway 299
Round Mtn, CA 96084
Phone (530) 337-5750
8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015
Interoperability endpoints
- laura.reynosonp.p1@direct.schc.nextgenshare.com
Organizations & group practices 5
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.
-
- Infectious Disease Physician
- San Francisco, CA
- NPI 1467078063
-
- Federally Qualified Health Center (FQHC)
- Round Mountain, CA
- NPI 1407914260
-
- Critical Access Hospital
- King City, CA
- NPI 1114917564
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1568338218
-
- Community/Retail Pharmacy
- Baton Rouge, LA
- NPI 1891525184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1871069575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "323-467-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8263 GROVE AVE STE 201",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303107",
"telephone_number": "919-579-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOSO",
"first_name": "LAURA",
"credential": "NP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-19",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95027541",
"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 Sep 8, 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.