Individual provider Active NPI

Roggielyz Yosores Padilla, NP-C

  • Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1124566724
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95005940 Issued in CA
Practice address
3655 Lomita Blvd Ste 421
Torrance, CA 90505-1934
Phone
(310) 540-5464
Fax
(310) 540-4761
NPI assigned
Feb 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95005940 CA Primary

Addresses

Primary practice location

3655 Lomita Blvd Ste 421
Torrance, CA 90505-1934

Mailing address

3655 Lomita Blvd Ste 421
Torrance, CA 90505-1934
Phone (310) 540-5464

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
I20171006002983 CA Practitioner - Nurse Practitioner 3678848264 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Im-FSR Inc. CurrentSince Jun 1, 2025 Accepting new patients
CC Southbay Medical Associates Nurse Practitioner Current Accepting new patients
Hospitalist Group of Montebello Inc CurrentSince Mar 1, 2024 Accepting new patients
Soma Medical Group CurrentSince Nov 1, 2017 Accepting new patients
Global Transitional Care, LLC CurrentSince Jul 26, 2018 Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

5161 California Ave
Ste 200
Irvine, CA 92617
Phone (949) 543-0124

1959 Kingsdale Ave
Redondo Beach, CA 90278
Phone (310) 214-1000

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

3655 Lomita Blvd
Ste 421
Torrance, CA 90505
Phone (310) 540-5464

Organizations & group practices 7

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": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1124566724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 421",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051934",
            "telephone_number": "310-540-5464",
            "fax_number": "310-540-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 421",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051934",
            "telephone_number": "310-540-5464",
            "fax_number": "310-540-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "ROGGIELYZ",
        "middle_name": "YOSORES",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.