Individual provider Active NPI

Rosalind Tuazon-Jarvina Roberson, OTR/L

  • Occupational Therapist
  • Artesia, CA
National Provider Identifier
1134515885
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9936 Issued in CA
Practice address
11700 South St
Artesia, CA 90701-6611
Phone
(562) 468-0088
NPI assigned
Apr 9, 2015
Last updated
Jun 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9936 CA Primary

Addresses

Primary practice location

11700 South St
Artesia, CA 90701-6611

Mailing address

11700 South St Ste 200
Artesia, CA 90701-6619
Phone (310) 613-3679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9936CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Physical Therapy and Wellness Services, Apc CurrentSince Jun 21, 2020 Accepting new patients

Locations

11700 South St
Ste 200
Artesia, CA 90701
Phone (562) 403-1070

Organizations & group practices 1

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1134515885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 SOUTH ST STE 200",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016619",
            "telephone_number": "310-613-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 SOUTH ST",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016611",
            "telephone_number": "562-468-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "ROSALIND",
        "middle_name": "TUAZON-JARVINA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.