Individual provider Active NPI

Rosemarie Luis Mitura

  • Licensed Practical Nurse
  • San Jose, CA
National Provider Identifier
1245149988
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
720009 Issued in CA
Practice address
1448 Mount Whitney Dr
San Jose, CA 95127-4741
Phone
(408) 609-9617
NPI assigned
Sep 7, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 183700000X 81305 CA
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X 720009 CA Primary

Addresses

Primary practice location

1448 Mount Whitney Dr
San Jose, CA 95127-4741

Mailing address

1448 Mount Whitney Dr
San Jose, CA 95127-4741
Phone (408) 609-9617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1245149988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 MOUNT WHITNEY DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274741",
            "telephone_number": "408-609-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 MOUNT WHITNEY DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274741",
            "telephone_number": "408-609-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITURA",
        "first_name": "ROSEMARIE",
        "middle_name": "LUIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "81305",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "720009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.