Individual provider Active NPI

Rohzan Grace Altre, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodland Hills, CA
National Provider Identifier
1093005225
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95009293 Issued in CA
Practice address
6200 Canoga Ave Ste 210
Woodland Hills, CA 91367-7794
Phone
(818) 805-4296
NPI assigned
Apr 8, 2011
Last updated
Feb 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95009293 CA Primary

Addresses

Primary practice location

6200 Canoga Ave Ste 210
Woodland Hills, CA 91367-7794

Mailing address

14256 Astoria St
Sylmar, CA 91342-4121
Phone (707) 853-0143

Other names 1

  • Rohzan Grace Cruz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190226002307 CA Practitioner - Nurse Practitioner 0941549554 Reassigns benefits to 5 organizations
I20230509000773 NV Practitioner - Nurse Practitioner 0941549554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6200 Canoga Ave
Suite 210
Woodland Hills, CA 91367-7794
Phone (818) 805-4296

871 Coronado Ctr Dr
Suite 200
Henderson, NV 89052-3977
Phone (818) 805-4296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95009293CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sabira Saifuddin MD a Medical Corp CurrentSince Apr 27, 2026 Accepting new patients
County of Kern CurrentSince Feb 1, 2019 Accepting new patients
Intuitive Psychotherapy Associates, Licensed Clinical Social Worker PC CurrentSince Apr 1, 2023 Accepting new patients
Bridge Telehealth PC CurrentSince Mar 1, 2023 Accepting new patients
County of Kern CurrentSince Feb 1, 2019 Accepting new patients
Santa Barbara County County Auditor CurrentSince Oct 20, 2020 Accepting new patients
County of Kern Current Accepting new patients
Santa Barbara County Auditor CurrentSince Oct 20, 2020 Accepting new patients

Locations

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

22048 Sherman Way
Ste 115
Canoga Park, CA 91303
Phone (646) 694-2434

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

4199 Campus Dr
Ste 550
Irvine, CA 92612
Phone (888) 912-7434

429 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 884-1600

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

31194 La Baya Dr
Ste 202
Westlake Village, CA 91362
Phone (805) 341-3416

6200 Canoga Ave
Ste 210
Woodland Hills, CA 91367
Phone (818) 340-7700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1093005225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14256 ASTORIA ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424121",
            "telephone_number": "707-853-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 CANOGA AVE STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677794",
            "telephone_number": "818-805-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTRE",
        "first_name": "ROHZAN",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95009293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROHZAN",
            "last_name": "CRUZ",
            "middle_name": "GRACE",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.