Active NPI
Rosilyn Kattiyaman, APRN
- Nurse Practitioner
- Moreno Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95026910
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
- Cep America - California
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95026910 | CA | MD | Nurse Practitioner |
| 209-018456 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| Edward Hospital | Current | Accepting new patients | |
| Elmhurst Memorial Hospital | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients | |
| Edward Hospital | Current | 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
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
- lkattiyamen127918@direct.edward.org
- 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.
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1023122967
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Multi-Specialty Clinic/Center
- Bolingbrook, IL
- NPI 1962452912
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1013969013
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
- Emergency Medicine Physician
- Lynwood, CA
- NPI 1932596848
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Emergency Medicine Physician
- Delano, CA
- NPI 1598534216
-
- Federally Qualified Health Center (FQHC)
- Perris, CA
- NPI 1194839035
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1952496010
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moreno Valley, CA
- NPI 1821159195
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.