Individual provider Active NPI

Rosemary Angeline Perez, FNP-BC

  • Family Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1083506497
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95034125 Issued in CA
Practice address
733 Grand Canal
Irvine, CA 92620-1876
Phone
(484) 649-6490
NPI assigned
Jul 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 95034125 CA Primary

Addresses

Primary practice location

733 Grand Canal
Irvine, CA 92620-1876

Mailing address

733 Grand Canal
Irvine, CA 92620-1876
Phone (484) 649-6490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825003866 CA Practitioner - Nurse Practitioner 4284134008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dispatchhealth-Ca PCGroup PAC ID 4789086455, 29 clinicians

Practice addresses (Care Compare)

5735 Sunrise Blvd
Citrus Heights, CA 95610-7623
Phone (303) 500-1518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95034125CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Ca, PC Multi-Specialty CurrentSince Aug 7, 2025 Accepting new patients
Professional Portable Radiologic Services Inc. Past Accepting new patients

Locations

5735 Sunrise Blvd
Citrus Hts, CA 95610

604 E Huntington Dr
Ste B
Monrovia, CA 91016

720 Carnegie Dr
Ste 140
San Bernardino, CA 92408

4719 Viewridge Ave
Ste 130
San Diego, CA 92123
Phone (303) 500-1815

140 Centennial Way
Tustin, CA 92780
Phone (706) 315-2523

Interoperability endpoints

  • Direct secure messaging: rosemary.perez.1@13869.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1083506497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 GRAND CANAL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201876",
            "telephone_number": "484-649-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 GRAND CANAL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201876",
            "telephone_number": "484-649-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ROSEMARY",
        "middle_name": "ANGELINE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.