Active NPI
Rosslynn S Byous, DPA, PAC
- Medical Physician Assistant
- Rancho Cucamonga, CA
National Provider Identifier
1407904329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 11842
- Practice address
- 9405 Fairway View PL
Rancho Cucamonga, CA 91730-0932 - Phone
- (909) 481-7345
- NPI assigned
- Jan 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11842 | CA | |
| Medical Physician Assistant | 363AM0700X | 11842 | CA | Primary |
Addresses
Primary practice location
9405 Fairway View PL
Rancho Cucamonga, CA 91730-0932
Mailing address
3536 Concours
Suite 350
Ontario, CA 91764-5585
Phone (909) 476-7113
Other practice location 1
2901 N.Tenth Stret
Suite 100
Colton, CA 92324
Phone (909) 264-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11842 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1407904329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3536 CONCOURS",
"address_2": "SUITE 350",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917645585",
"telephone_number": "909-476-7113",
"fax_number": "866-252-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9405 FAIRWAY VIEW PL",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300932",
"telephone_number": "909-481-7345"
}
],
"practiceLocations": [
{
"address_1": "2901 N.Tenth Stret",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Colton",
"state": "CA",
"postal_code": "92324",
"country_code": "US",
"telephone_number": "909-264-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYOUS",
"first_name": "ROSSLYNN",
"middle_name": "S",
"credential": "DPA, PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA11842",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "11842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.