LAURA REYNOSO NP, RN
NPI 1871069575
Nurse Practitioner in Rancho Cucamonga, CA

Q: What is Laura Reynoso's NPI number?

The NPI number for Laura Reynoso is 1871069575. It was assigned to this individual provider in the NPPES registry on October 19, 2018.

Q: What is Laura Reynoso's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Reynoso was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 October 19, 2018PECOS Enrolled

8263 GROVE AVE STE 201, RANCHO CUCAMONGA, CA 91730(919) 579-0708 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2025, Oct 19, 2018 (2 updates tracked since 2018).

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About Laura Reynoso Np, Rn NPPES

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

LAURA REYNOSO NP, RN (NPI 1871069575) is an individual nurse practitioner in Rancho Cucamonga, California, licensed in California (95027541) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871069575

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLAURA REYNOSOCredential: NP, RN

Location Address8263 GROVE AVE STE 201Rancho Cucamonga, CA 91730-3107

Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200 · Fax (323) 467-7119

Phone(919) 579-0708

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 19, 2018

Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1871069575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95027541

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Reynoso Np, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880198910

PECOS Enrollment IDI20250919003591

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

DR. WOLLELAW W AGMAS M.D

Preventive Medicine (Public Health & General Preventive Medicine)