Individual provider Active NPI

Belita Sofia Roberts, RN, FNP

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1417624123
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018140 Issued in CA
Practice address
1269 E Anaheim St
Long Beach, CA 90813-3709
Phone
(562) 841-3938
NPI assigned
Aug 30, 2021
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018140 CA Primary

Addresses

Primary practice location

1269 E Anaheim St
Long Beach, CA 90813-3709

Mailing address

1269 E Anaheim St
Long Beach, CA 90813-3709
Phone (949) 212-8339

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
I20220303000608 CA Practitioner - Nurse Practitioner 0547654865 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visal Nga, D.O. Inc.Group PAC ID 4082852942, 4 clinicians

Practice addresses (Care Compare)

1269 E Anaheim St
Long Beach, CA 90813-3709
Phone (562) 599-5300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95018140CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vannarith So MD a Professional Corporation CurrentSince Jan 23, 2022 Accepting new patients
Curemate Wound Institute PC CurrentSince Nov 7, 2025 Accepting new patients
Visal Nga DO Inc CurrentSince Jan 23, 2022 Accepting new patients

Locations

1269 E Anaheim St
Long Beach, CA 90813
Phone (562) 591-0050

1777 N Bellflower Blvd
Ste 101
Long Beach, CA 90815
Phone (562) 437-0996

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1417624123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133709",
            "telephone_number": "949-212-8339",
            "fax_number": "562-599-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133709",
            "telephone_number": "562-841-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BELITA",
        "middle_name": "SOFIA",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.