Individual provider Active NPI

Rose Howell Sivilli, MD

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1215429469
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A183012 Issued in CA
Practice address
584 1/2 N Larchmont Blvd
Los Angeles, CA 90004-1306
Phone
(401) 268-4116
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 66053 AZ
Psychiatry Physician 2084P0800X A183012 CA Primary

Addresses

Primary practice location

584 1/2 N Larchmont Blvd
Los Angeles, CA 90004-1306

Mailing address

8476 E Speedway Blvd Ste 210
Tucson, AZ 85710-1714
Phone (401) 268-4116

Other practice location 1

6602 E Carondelet Dr
Tucson, AZ 85710-2119
Phone (520) 214-0818

Other practice location 2

8476 E Speedway Blvd Ste 210
Tucson, AZ 85710-1714
Phone (401) 268-4116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180919002281 AZ Order and Referring Only - PsychiatryPractitioner - Psychiatry 3173874880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66053AZMDPsychiatry Physician
A183012CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1215429469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8476 E SPEEDWAY BLVD STE 210",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101714",
            "telephone_number": "401-268-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 1/2 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041306",
            "telephone_number": "401-268-4116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6602 E Carondelet Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857102119",
            "country_code": "US",
            "telephone_number": "520-214-0818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8476 E Speedway Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857101714",
            "country_code": "US",
            "telephone_number": "401-268-4116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVILLI",
        "first_name": "ROSE",
        "middle_name": "HOWELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "66053",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A183012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.