Individual provider Active NPI

Andrea Jauregui, PTA

  • Physical Therapy Assistant
  • Norco, CA
National Provider Identifier
1942942453
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
2641 Hamner Ave Ste 110
Norco, CA 92860
Phone
(626) 536-4834
Fax
(626) 507-6319
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

2641 Hamner Ave Ste 110
Norco, CA 92860

Mailing address

414 E San Bernardino Rd
Covina, CA 91723-1704

Other practice location 1

414 E San Bernardino Rd
Covina, CA 91723-1704
Phone (626) 367-3206

Other names 1

  • Ms. Andrea Zaragoza Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrea.z@wonderkindtherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1942942453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 HAMNER AVE STE 110",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "92860",
            "telephone_number": "626-536-4834",
            "fax_number": "626-507-6319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 E San Bernardino Rd",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917231704",
            "country_code": "US",
            "telephone_number": "626-367-3206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAUREGUI",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2024-04-08",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea.z@wonderkindtherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "414 E San Bernardino Rd",
            "city": "Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917231704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ZARAGOZA",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.