Individual provider Active NPI

Rosilyn Kattiyaman, APRN

  • Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1215407358
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95026910 Issued in CA
Practice address
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone
(951) 988-9922
NPI assigned
Dec 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 209-018456 IL
Nurse Practitioner 363L00000X 95026910 CA Primary

Addresses

Primary practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Mailing address

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 988-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 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
I20190227002381 IL Practitioner - Nurse Practitioner 3274872767 Reassigns benefits to 4 organizations
I20240219001213 CA Practitioner - Nurse Practitioner 3274872767 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of RiversideGroup PAC ID 6507754488, 190 clinicians
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

1330 W Ramsey
Suite 100
Banning, CA 92220
Phone (951) 849-7142

191 N Sunrise Way
Palm Springs, CA 92262-5201
Phone (760) 778-2210

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (909) 486-5650

26600 Cactus Ave
Moreno Valley, CA 92555-3901

3700 E S St
Lakewood, CA 90712-1419
Phone (562) 531-2550

7140 Indiana Ave
Riverside, CA 92504-4544
Phone (951) 358-6000

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

940 E Williams St
Suite 102
Banning, CA 92220-5808
Phone (951) 849-6794

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95026910CAMDNurse Practitioner
209-018456ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside CurrentSince Sep 30, 2023 Accepting new patients
County of Riverside Current Accepting new patients
Cep America-California CurrentSince Dec 3, 2023 Accepting new patients
Cep America-California CurrentSince Dec 3, 2023 Accepting new patients
Edward Health Ventures CurrentSince Dec 15, 2020 Accepting new patients
Cep America - California Current Accepting new patients
Cepamerica Illinois LLP CurrentSince Feb 5, 2019 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
Cep America - California CurrentSince Dec 3, 2023 Accepting new patients
Cepamerica Illinois LLP CurrentSince Feb 5, 2019 Accepting new patients
County of Riverside CurrentSince Sep 30, 2023 Accepting new patients
Edward Hospital CurrentSince Apr 1, 2021 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Apr 1, 2021 Accepting new patients
Cep America - California Current Accepting new patients
Edward Health Ventures CurrentSince Dec 15, 2020 Accepting new patients
Edward Hospital CurrentSince Apr 1, 2021 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

1804 N Naper Blvd
Ste 103
Naperville, IL 60563
Phone (630) 646-6200

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: lkattiyamen127918@direct.edward.org
  • Direct secure messaging: rkattiyaman870834@direct.llu.edu

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1543708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1215407358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "951-988-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "951-988-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTIYAMAN",
        "first_name": "ROSILYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-02",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-018456",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95026910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.