Individual provider Active NPI

Roi Brenn Valderama Arlante

  • Registered Nurse
  • Lancaster, CA
National Provider Identifier
1194414060
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95224441 Issued in CA
Practice address
3100 Mildwood CT
Lancaster, CA 93536-4740
Phone
(661) 579-6898
NPI assigned
May 4, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95224441 CA Primary

Addresses

Primary practice location

3100 Mildwood CT
Lancaster, CA 93536-4740

Mailing address

28741 Shadow Valley LN
Santa Clarita, CA 91390-1262
Phone (818) 442-7922

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
95224441CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Spiritus Home Healthcare Inc CurrentSince Dec 15, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1194414060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28741 SHADOW VALLEY LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913901262",
            "telephone_number": "818-442-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MILDWOOD CT",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364740",
            "telephone_number": "661-579-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARLANTE",
        "first_name": "ROI BRENN",
        "middle_name": "VALDERAMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-04",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95224441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.