Active NPI
Cynthia Maria Zavala, CPNP
- Pediatric Nurse Practitioner
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP95005543
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95005543 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Healthcare | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1598703647
-
- Federally Qualified Health Center (FQHC)
- Beaumont, CA
- NPI 1629601653
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2020; 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.