Rosa M Pedroza

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

710876 Issued in CA

Practice address

1414 N California St # 2
Stockton, CA 95202-1515

Phone

(209) 468-8700

NPI assigned

Jul 10, 2024

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1427895119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 CANDIDO CT",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953761911",
            "telephone_number": "510-326-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N CALIFORNIA ST # 2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021515",
            "telephone_number": "209-468-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROZA",
        "first_name": "ROSA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "710876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laugatausala Kayla Ann Pedebone
• Robert E Pedersen, O.D.
• Pediatric Associates of Stockton
• Pediatric Care of Stockton
• Elio Pedroso Conroy, MD
• Peebles Family Care Home (PALS Assisted Living Services Inc)
• Peebles Family Care Home (PALS Assisted Living Services Inc)
• Sittie Reshyllaira Batara Peeples
• Peer Recovery Services
• Pegasus Transport LLC

• Psychiatric/Mental Health Registered Nurse in Stockton, CA
• Providers in Stockton, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.