Individual provider Active NPI

Rovin Santos, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1306492368
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019246 Issued in CA
Practice address
3580 Wilshire Blvd
Los Angeles, CA 90010-2501
Phone
(213) 296-3783
NPI assigned
Aug 15, 2019
Last updated
Jan 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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 95019246 CA Primary
Registered Nurse 163W00000X 95183237 CA

Addresses

Primary practice location

3580 Wilshire Blvd
Los Angeles, CA 90010-2501

Mailing address

3580 Wilshire Blvd
Los Angeles, CA 90010-2501
Phone (213) 296-3783

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
I20220301001901 CA Practitioner - Nurse Practitioner 7012301427 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Wello Wound Care Nursing PCGroup PAC ID 3577068642, 2 clinicians
SNF Wound CareGroup PAC ID 1759699176, 28 clinicians

Practice addresses (Care Compare)

11239 Ventura Blvd
Suite 212
Studio City, CA 91604-3167
Phone (844) 435-5693

1250 S Beverly Glen Blvd
Apt 202
Los Angeles, CA 90024-5221
Phone (310) 270-6181

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Wound Care CurrentSince May 22, 2022 Accepting new patients
IHS Medical Group PC CurrentSince Feb 21, 2022 Accepting new patients
Sharmeela Advani, MD Inc CurrentSince Jul 15, 2025 Accepting new patients
Beachwood Home Health Past Accepting new patients

Locations

21049 Devonshire St
Ste 103B
Chatsworth, CA 91311
Phone (747) 347-5738

1244 Travis Blvd
Fairfield, CA 94533
Phone (707) 422-7750

1832 B St
Hayward, CA 94541
Phone (510) 538-3866

10850 Wilshire Blvd
Ste 1130
Los Angeles, CA 90024
Phone (310) 209-0425

Organizations & group practices 5

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1306492368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102501",
            "telephone_number": "213-296-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102501",
            "telephone_number": "213-296-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ROVIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019246",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95183237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.