Individual provider Active NPI

Rosafel R. Adriano-Nogra, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Cupertino, CA
National Provider Identifier
1013947910
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15930 Issued in CA
Practice address
21250 Stevens Creek Blvd.
Cupertino, CA 95014-5913
Phone
(408) 864-8732
Fax
(408) 864-8983
NPI assigned
Jul 4, 2006
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15930 CA Primary
Registered Nurse 163W00000X 580191 CA
College Health Registered Nurse 163WC1400X 580191 CA

Addresses

Primary practice location

21250 Stevens Creek Blvd.
Cupertino, CA 95014-5913

Mailing address

613 Appian Way
Union City, CA 94587-9998
Phone (408) 701-7792

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
580191CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill-de Anza Community College District CurrentSince Jun 9, 2024 Accepting new patients

Locations

21250 Stevens Creek Blvd
Cupertino, CA 95014
Phone (408) 864-8732

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1013947910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 APPIAN WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945879998",
            "telephone_number": "408-701-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21250 STEVENS CREEK BLVD.",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145913",
            "telephone_number": "408-864-8732",
            "fax_number": "408-864-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADRIANO-NOGRA",
        "first_name": "ROSAFEL",
        "middle_name": "R.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-06-03",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "15930",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "580191",
            "primary": false
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "CA",
            "license": "580191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.