Individual provider Active NPI

Reveline P. Gorospe, FNP

  • Family Nurse Practitioner
  • Wofford Heights, CA
National Provider Identifier
1184464885
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
313634 Issued in AZ
Practice address
67 Evans Rd
Wofford Heights, CA 93285-9696
Phone
(760) 376-2276
Fax
(760) 376-4801
NPI assigned
May 30, 2024
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029594 CA
Family Nurse Practitioner 363LF0000X 313634 AZ Primary

Addresses

Primary practice location

67 Evans Rd
Wofford Heights, CA 93285-9696

Mailing address

67 Evans Rd
Wofford Heights, CA 93285-9696
Phone (760) 376-2276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20241024001281 AZ Practitioner - Nurse Practitioner 2062945413 Reassigns benefits to 2 organizations
I20250206000296 NV Practitioner - Nurse Practitioner 2062945413 Reassigns benefits to 1 organization
I20250529001961 CA Practitioner - Nurse Practitioner 2062945413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1305 Bear Mountain Blvd
Arvin, CA 93203-1231
Phone (661) 854-3131

67 Evans Rd
Wofford Heights, CA 93285-9640
Phone (760) 376-2276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313634AZMDFamily Nurse Practitioner
95029594CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Nov 17, 2025 Accepting new patients
Douglas E Roberts Jr MD a Professional Corporation CurrentSince May 5, 2025 Accepting new patients
Az Mobile Doctors LLC Family CurrentSince Sep 11, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Nov 17, 2025 Accepting new patients
Signify Health, LLC CurrentSince Jan 16, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 16, 2025 Accepting new patients
Clinica Sierra Vista Current Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

13416 N 32nd St
Ste 102
Phoenix, AZ 85032
Phone (602) 616-2291

1825 E Northern Ave
Ste 100
Phoenix, AZ 85020
Phone (480) 645-9640

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

900 N Heritage Dr
Ste E
Ridgecrest, CA 93555
Phone (760) 446-4571

67 Evans Rd
Wofford Hts, CA 93285
Phone (760) 376-2276

701 S Carson St
Ste 200
Carson City, NV 89701
Phone (617) 586-0958

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17265/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1184464885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 EVANS RD",
            "city": "WOFFORD HEIGHTS",
            "state": "CA",
            "postal_code": "932859696",
            "telephone_number": "760-376-2276",
            "fax_number": "760-376-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 EVANS RD",
            "city": "WOFFORD HEIGHTS",
            "state": "CA",
            "postal_code": "932859696",
            "telephone_number": "760-376-2276",
            "fax_number": "760-376-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOROSPE",
        "first_name": "REVELINE",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029594",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "313634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wofford Heights, CA

Sources for this page

Verify at the official NPI Registry.