Individual provider Active NPI

Cynthia Maria Zavala, CPNP

  • Pediatric Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1972048601
Registry record updated May 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NP95005543 Issued in CA
Practice address
1970 University Ave
Riverside, CA 92507-5202
Phone
(951) 213-3450
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NP95005543 CA Primary

Addresses

Primary practice location

1970 University Ave
Riverside, CA 92507-5202

Mailing address

5681 Crestline PL
Rancho Cucamonga, CA 91739-2134
Phone (626) 347-7141

Other practice location 1

8856 Arlington Ave
Riverside, CA 92503-1365
Phone (951) 710-3970

Other practice location 2

590 N D St
San Bernardino, CA 92401-1352
Phone (909) 453-6900

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
I20221014002184 CA Practitioner - Nurse Practitioner 4082080130 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95005543CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Sep 1, 2022 Accepting new patients
Neighborhood Healthcare CurrentSince Sep 1, 2022 Accepting new patients

Locations

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

425 N Date St
#0
Escondido, CA 92025

903 E Devonshire Ave
Ste D
Hemet, CA 92543
Phone (951) 216-6100

1971 University Ave
Riverside, CA 92507
Phone (951) 284-6200

8856 Arlington Ave
Riverside, CA 92503
Phone (951) 353-2702

1970 University Ave
Riverside, CA 92507
Phone (951) 213-3450

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: czavala@borregomedical.directbygreenway.com

Organizations & group practices 2

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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589673600000",
    "number": "1972048601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5681 CRESTLINE PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392134",
            "telephone_number": "626-347-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 UNIVERSITY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075202",
            "telephone_number": "951-213-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8856 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925031365",
            "country_code": "US",
            "telephone_number": "951-710-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 N D St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011352",
            "country_code": "US",
            "telephone_number": "909-453-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "CYNTHIA",
        "middle_name": "MARIA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP95005543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.