Individual provider Active NPI

Rosalina Eusebio

  • Pediatrics Physician
  • Porterville, CA
National Provider Identifier
1104867605
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A34385 Issued in CA
Practice address
26501 Avenue 140
Porterville, CA 93257-9109
Phone
(559) 782-2222
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A34385 CA Primary

Addresses

Primary practice location

26501 Avenue 140
Porterville, CA 93257-9109

Mailing address

26501 Avenue 140
Porterville, CA 93257-9109
Phone (559) 782-2222

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090504000342 CA Practitioner - Pediatric MedicinePractitioner - General Practice 4880742790 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A34385CAMDPediatrics Physician
34385CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Agnews Community Clinic CurrentSince May 23, 2007 Accepting new patients
State of California - Department of Developmental Services CurrentSince May 23, 2007 Accepting new patients
State of California - Department of Developmental Services Current Accepting new patients
State of California - Department of Developmental Services Past Accepting new patients

Locations

3530 Pomona Blvd
Pomona, CA 91768
Phone (909) 444-7200

26501 Avenue 140
Porterville, CA 93257
Phone (559) 782-2222

Organizations & group practices 4

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104867605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26501 AVENUE 140",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932579109",
            "telephone_number": "559-782-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26501 AVENUE 140",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932579109",
            "telephone_number": "559-782-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSEBIO",
        "first_name": "ROSALINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A34385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.