Active NPI
Patricia L. Rozenoff, FNP
- Family Nurse Practitioner
- Rohnert Park, CA
National Provider Identifier
1376657544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 15763
- Practice address
- 1450 Medical Center Dr
Suite 3
Rohnert Park, CA 94928-2924 - Phone
- (707) 584-8588
- Fax
- (707) 584-2869
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 15763 | CA | Primary |
Addresses
Primary practice location
1450 Medical Center Dr
Suite 3
Rohnert Park, CA 94928-2924
Mailing address
1450 Medical Center Dr
Suite 3
Rohnert Park, CA 94928-2924
Phone (707) 584-8588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 508469 | Other | CA | REGISTERED NURSE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376657544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 MEDICAL CENTER DR",
"address_2": "SUITE 3",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282924",
"telephone_number": "707-584-8588",
"fax_number": "707-584-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 MEDICAL CENTER DR",
"address_2": "SUITE 3",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282924",
"telephone_number": "707-584-8588",
"fax_number": "707-584-2869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZENOFF",
"first_name": "PATRICIA",
"middle_name": "L.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "15763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "508469",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.