Individual provider Active NPI

Patricia De la Rocha, NP

  • Nurse Practitioner
  • Arcadia, CA
National Provider Identifier
1194580845
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95028944 Issued in CA
Practice address
623 W Duarte Rd Ste 8
Arcadia, CA 91007-7349
Phone
(626) 461-5408
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95028944 CA Primary

Addresses

Primary practice location

623 W Duarte Rd Ste 8
Arcadia, CA 91007-7349

Mailing address

10002 Belfair St
Bellflower, CA 90706-2534
Phone (562) 213-6814

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402003426 CA Practitioner - Nurse Practitioner 9638517287 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Donald J Portocarrero D O Inc CurrentSince Feb 19, 2024 Accepting new patients
Gastrointestinal & Non-Surgical Weight Loss Solutions Inc PastSince Mar 21, 2021 Accepting new patients

Locations

638 W Duarte Rd
Ste 5
Arcadia, CA 91007
Phone (626) 461-5408

623 W Duarte Rd
Ste 8
Arcadia, CA 91007
Phone (626) 321-9944

122A E Foothill Blvd
Arcadia, CA 91006

638 W Duarte Rd
Ste 8
Arcadia, CA 91007
Phone (626) 461-5408

Organizations & group practices 2

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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1194580845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10002 BELFAIR ST",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062534",
            "telephone_number": "562-213-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W DUARTE RD STE 8",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077349",
            "telephone_number": "626-461-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROCHA",
        "first_name": "PATRICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95028944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.