Santa Rosa Family Care Center, a Nursing Corporation

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP7205 Issued in CA

Legal business name

SANTA ROSA FAMILY CARE CENTER, A NURSING CORPORATION

Practice address

5015 Whittier Blvd
Los Angeles, CA 90022-3116

Phone

(323) 981-2930

Fax

(323) 981-2035

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Sifuentes Ortiz, FNPNPI 1073665998

Title

Ceo, Cfo, Secretary

Phone

(323) 981-2930

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TSO HEALTH A NURSING CORPORATION Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Sifuentes Ortiz, FNP

  • Chore Provider
  • Los Angeles, CA
  • NPI 1073665998
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1083836274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223116",
            "telephone_number": "323-981-2930",
            "fax_number": "323-981-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223116",
            "telephone_number": "323-981-2930",
            "fax_number": "323-981-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA FAMILY CARE CENTER, A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "SIFUENTES",
        "authorized_official_title_or_position": "CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "323-981-2930",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP7205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GNP000150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TSO HEALTH A NURSING CORPORATION",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Santa Monica Home Health Care, Inc.
• Santa Monica Hospice Care, Inc.
• Santa Monica in Home Care LLC
• Santa Monica Sports Massage LLC
• Santa Rosa Family Care Center
• Santa Rosa Family Medical Clinic
• Santa Rosa Health Associates, Inc.
• Santa Teresita Medical Clinic Group Inc
• Helen Merie Santacruz, MA, CCC-SLP
• Yvette Santacruz

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.