Active NPI
Kimberly Grace Soriano, MSN, FNP-C
- Family Nurse Practitioner
- West Covina, CA
National Provider Identifier
1922455203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95004264
- Practice address
- 1559 E Amar Rd
Suite F
West Covina, CA 91792-1679 - Phone
- (626) 810-1522
- Fax
- (626) 810-2793
- NPI assigned
- May 17, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95004264 | CA | Primary |
Addresses
Primary practice location
1559 E Amar Rd
Suite F
West Covina, CA 91792-1679
Mailing address
1559 E Amar Rd
Suite F
West Covina, CA 91792-1679
Phone (626) 810-1522
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171027000028 | CA | Order and Referring Only - Internal Medicine | 6507132032 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1922455203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1559 E AMAR RD",
"address_2": "SUITE F",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917921679",
"telephone_number": "626-810-1522",
"fax_number": "626-810-2793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1559 E AMAR RD",
"address_2": "SUITE F",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917921679",
"telephone_number": "626-810-1522",
"fax_number": "626-810-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORIANO",
"first_name": "KIMBERLY",
"middle_name": "GRACE",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95004264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.