Individual provider Active NPI

Rosavilla Anuta Tagaro, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1225865793
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032105 Issued in CA
Practice address
44839 Dusty Rd
Lancaster, CA 93536-7447
Phone
(661) 483-8096
NPI assigned
Sep 18, 2024
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 95032105 CA Primary
Case Management Registered Nurse 163WC0400X 732675 CA

Addresses

Primary practice location

44839 Dusty Rd
Lancaster, CA 93536-7447

Mailing address

44839 Dusty Rd
Lancaster, CA 93536-7447
Phone (661) 483-8096

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
I20260211003277 CA Practitioner - Nurse Practitioner 1456830256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarzana Treatment Centers IncGroup PAC ID 5991897845, 55 clinicians

Practice addresses (Care Compare)

320 E Palmdale Blvd
Palmdale, CA 93550-4598
Phone (800) 996-1051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
732675CAMDCase Management Registered Nurse
95032105CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Treatment Centers, Inc. CurrentSince Dec 28, 2025 Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Dec 28, 2025 Accepting new patients

Locations

320 E Palmdale Blvd
Palmdale, CA 93550
Phone (661) 729-9000

18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815

Interoperability endpoints

  • Direct secure messaging: rtagaro828501@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1225865793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44839 DUSTY RD",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367447",
            "telephone_number": "661-483-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44839 DUSTY RD",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367447",
            "telephone_number": "661-483-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGARO",
        "first_name": "ROSAVILLA",
        "middle_name": "ANUTA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032105",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "732675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.