Individual provider Active NPI

Laura Reynoso, NP, RN

  • Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1871069575
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95027541 Issued in CA
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

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250919003591 CA Practitioner - Nurse Practitioner 4880198910 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
95027541CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Community Clinic CurrentSince Sep 29, 2025 Accepting new patients
Hill Country Community Clinic CurrentSince Sep 29, 2025 Accepting new patients
AIDS Healthcare Foundation CurrentSince Aug 29, 2025 Accepting new patients
AIDS Healthcare Foundation CurrentSince Aug 29, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.