Healthcare Provider Details

I. General information

NPI: 1467379321
Provider Name (Legal Business Name): SARAH HORTON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1662 LA PAZ AVE
ONTARIO CA
91764-1629
US

IV. Provider business mailing address

1662 LA PAZ AVE
ONTARIO CA
91764-1629
US

V. Phone/Fax

Practice location:
  • Phone: 909-225-9525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95039749
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: