Glenda S Rogers, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

260362 Issued in CA

Practice address

26732 Crown Valley Pkwy
Suite 351
Mission Viejo, CA 92691-6306

Phone

(949) 364-1007

Fax

(949) 364-0317

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Saddleback Valley Surgical-Medical Group

  • Surgery Physician
  • Mission Viejo, CA
  • NPI 1871593079
  NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1215938717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26641 LAS ONDAS DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923928",
            "telephone_number": "949-364-1007",
            "fax_number": "949-364-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY",
            "address_2": "SUITE 351",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916306",
            "telephone_number": "949-364-1007",
            "fax_number": "949-364-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "GLENDA",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "260362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "128526",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "260362",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pavel Rodriguez, MD
• Sandra Paola Rodriguez, PT, DPT
• Rana Rofagha Sajjadian, MD
• Roger S. Cullen Dental Corp.
• Roger Sohn Inc
• Katie Rose Rogers, NP
• Nicholas Rogers, D.C.
• Samuel Rogerson
• Emilee Rohrer
• Saghi Rokhshadfar, MD

• Registered Nurse in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.