Individual provider Active NPI

Rosangela Minakawa

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1013399070
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
789127 Issued in CA
Practice address
4319 Copeland Ave
Apt 3
San Diego, CA 92105-1235
Phone
(619) 408-6630
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 789127 CA Primary

Addresses

Primary practice location

4319 Copeland Ave
Apt 3
San Diego, CA 92105-1235

Mailing address

4319 Copeland Ave
Apt 3
San Diego, CA 92105-1235
Phone (619) 408-6630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
789127CAMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1013399070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 COPELAND AVE",
            "address_2": "APT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051235",
            "telephone_number": "619-408-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 COPELAND AVE",
            "address_2": "APT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051235",
            "telephone_number": "619-408-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAKAWA",
        "first_name": "ROSANGELA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "789127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.