Individual provider Active NPI

Arlene Aretha Taylor Rose, MSN, PMHNP-BC, CCRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1174993604
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95006428 Issued in CA
Practice address
8453 Fir Dr Apt D
Rancho Cucamonga, CA 91730-4160
Phone
(818) 473-0156
Fax
(641) 207-4228
NPI assigned
Sep 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 78207 CA
Critical Care Medicine Registered Nurse 163WC0200X 716641 CA
Public Health & General Preventive Medicine Physician 2083P0901X 78207 CA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Primary Care Clinic/Center 261QP2300X
Nurse Practitioner 363L00000X 95006428 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1099329 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95006428 CA Primary

Addresses

Primary practice location

8453 Fir Dr Apt D
Rancho Cucamonga, CA 91730-4160

Mailing address

113 N San Vicente Blvd Ste 253
Beverly Hills, CA 90211-2329
Phone (424) 209-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20170714002511 CA Practitioner - Nurse Practitioner 0042580623 Reassigns benefits to 2 organizations
I20260109000527 TX Practitioner - Nurse Practitioner 0042580623 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

Practice addresses (Care Compare)

442 Park Grove Dr
Katy, TX 77450-1571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
78207CAMDPublic Health & General Preventive Medicine Physician
1099329CAMDPsychiatric/Mental Health Nurse Practitioner
95006428CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suite Sense LLC Mental Health (Including Community Mental Health Center) CurrentSince Oct 18, 2025 Accepting new patients
The Rose Yarde Mental Health (Including Community Mental Health Center) CurrentSince Feb 1, 2022 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Apr 2, 2024 Accepting new patients
The Rose Yarde LLC Mental Health (Including Community Mental Health Center) CurrentSince Mar 20, 2024 Accepting new patients
Beth Psychiatry LLC Psychiatric/Mental Health Past Accepting new patients

Locations

113 N San Vicente Blvd
Ste 253
Beverly Hills, CA 90211
Phone (424) 209-4500

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17709 Chatsworth St
Granada Hills, CA 91344
Phone (818) 363-3121

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

442 Park Grove Dr
Katy, TX 77450
Phone (281) 579-9983

Organizations & group practices 5

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": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1174993604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N SAN VICENTE BLVD STE 253",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112329",
            "telephone_number": "424-209-4500",
            "fax_number": "818-450-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8453 FIR DR APT D",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304160",
            "telephone_number": "818-473-0156",
            "fax_number": "641-207-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR ROSE",
        "first_name": "ARLENE",
        "middle_name": "ARETHA",
        "credential": "MSN, PMHNP-BC, CCRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-27",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "78207",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "716641",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "78207",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006428",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "1099329",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95006428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.