Active NPI
Rowena San Juan Dacanay-Herman, N.P.
- Family Nurse Practitioner
- Spring Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22378
- Practice address
- 2457 Trace Rd
Spring Valley, CA 91978-1928 - Phone
- (619) 772-9466
- NPI assigned
- Feb 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22378 | CA | Primary |
Addresses
Primary practice location
2457 Trace Rd
Spring Valley, CA 91978-1928
Mailing address
2457 Trace Rd
Spring Valley, CA 91978-1928
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190620002357 | CA | Practitioner - Nurse Practitioner | 6709110059 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Somagen Healthcare Inc
Practice addresses (Care Compare)
10538 Mission Gorge Rd
Suite 100
Santee, CA 92071-3154
Phone (619) 456-0033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somagen Healthcare Inc | Current | Accepting new patients | |
| Somagen Healthcare Inc | Current | Accepting new patients | |
| Operation Samahan, Inc. | Past | Accepting new patients |
Locations
760 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 821-2300
750 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 259-9462
5671 Balboa Ave
San Diego, CA 92111
Phone (855) 362-9773
1740 Rosecrans St
San Diego, CA 92106
Phone (619) 790-7800
8590 Rio San Diego Dr
Ste 111
San Diego, CA 92108
Phone (619) 736-4600
8260 Mira Mesa Blvd
Ste A
San Diego, CA 92126
Phone (855) 362-9773
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Chula Vista, CA
- NPI 1316225147
-
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1558788620
-
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1770015901
-
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1952995466
-
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1992237127
-
- Urgent Care Clinic/Center
- Granada Hills, CA
- NPI 1043667660
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1194616268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1144689175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2457 TRACE RD",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919781928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2457 TRACE RD",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919781928",
"telephone_number": "619-772-9466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACANAY-HERMAN",
"first_name": "ROWENA",
"middle_name": "SAN JUAN",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-18",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "22378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.