AMY LAUREN KOLESIAK N.P.-C
NPI 1417137571
Nurse Practitioner - Acute Care in Rancho Cucamonga, CA

Q: What is Amy Kolesiak's NPI number?

The NPI number for Amy Kolesiak is 1417137571. It was assigned to this individual provider in the NPPES registry on November 6, 2007.

Q: What is Amy Kolesiak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Amy Kolesiak was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 06, 2007

10565 CIVIC CENTER DR BLDG SUITE165, RANCHO CUCAMONGA, CA 91730(909) 985-2211(909) 985-2244 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amy Lauren Kolesiak N.p.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY LAUREN KOLESIAK N.P.-C (NPI 1417137571) is an individual acute care provider in Rancho Cucamonga, California, licensed in California (95010259) and active in the NPI registry since November 2007. She maintains a secondary practice location in Glendora.

NPPES Registry Identity

NPI1417137571

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameAMY LAUREN KOLESIAKCredential: N.P.-C

Location Address10565 CIVIC CENTER DR BLDG SUITE165Rancho Cucamonga, CA 91730-3853

Mailing Address10565 Civic Center Dr Bldg Suite165Rancho Cucamonga, CA 91730-3853 · (909) 985-2211 · Fax (909) 985-2244

Phone(909) 985-2211

Fax(909) 985-2244

Sole ProprietorYes

Enumeration DateNovember 6, 2007

Last NPPES UpdateApril 9, 2019

✔ NPI 1417137571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95010259

10565 CIVIC CENTER DR BLDG SUITE165, Rancho Cucamonga, CA 91730

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Secondary Practice Location 1

Location 11435 E Route 66 Ste CGlendora, CA 91740-3748 · Phone (909) 575-7079 · Fax (626) 963-0262

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAHNAZ ENTEZARALMAHDI M.D.

Psychiatry & Neurology (Pain Medicine)

10565 CIVIC CENTER DR BLDG SUITE165
RANCHO CUCAMONGA, CA 91730

San Bernardino County (909) 985-2211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Kolesiak's NPI number?

The NPI number for Amy Kolesiak is 1417137571. It was assigned to this individual provider in the NPPES registry on November 6, 2007.

Where is Amy Kolesiak located?

Amy Kolesiak practices at 10565 Civic Center Dr Bldg Suite165, Rancho Cucamonga, CA 91730. The listed phone number is (909) 985-2211.

What is Amy Kolesiak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Amy Kolesiak was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.