Individual provider Active NPI

Rosslynn S Byous, DPA, PAC

  • Medical Physician Assistant
  • Rancho Cucamonga, CA
National Provider Identifier
1407904329
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
11842 Issued in CA
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

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11842CAMDPhysician 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

Verify at the official NPI Registry.