Roseanne Manalang Zhao, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95019198 Issued in CA

Practice address

210 Parque Dr
San Francisco, CA 94134-3123

Phone

(310) 804-7744

NPI assigned

Mar 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Annie Zhao Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1356936306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PARQUE DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941343123",
            "telephone_number": "310-804-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PARQUE DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941343123",
            "telephone_number": "310-804-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "ROSEANNE",
        "middle_name": "MANALANG",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "656168",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "ZHAO",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Judy An Zhao, DPT
• Lan Zhao
• Lihan Zhao
• Megan Zhao
• Nan Zhao
• Shiqi Zhao
• Shuyi Zhao, PHARM.D.
• Warren Zhao, D.C.
• Wei Zhao, PHARMD
• Wenguang Zhao, MD

• Family Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.