Individual provider Active NPI

Roxanne Ovalles Tolete

  • Family Nurse Practitioner
  • National City, CA
National Provider Identifier
1447905534
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPF95016173 Issued in CA
Practice address
2340 E 8TH St Ste D
National City, CA 91950-2875
Phone
(619) 470-7007
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95016173 CA
Family Nurse Practitioner 363LF0000X NPF95016173 CA Primary

Addresses

Primary practice location

2340 E 8TH St Ste D
National City, CA 91950-2875

Mailing address

2340 E 8TH St Ste D
National City, CA 91950-2875
Phone (619) 470-7007

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NP95016173CAMDFamily Nurse Practitioner
NPF95016173CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marianito D Sevilla MD Inc Apc PastSince Feb 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1447905534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E 8TH ST STE D",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502875",
            "telephone_number": "619-470-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E 8TH ST STE D",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502875",
            "telephone_number": "619-470-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLETE",
        "first_name": "ROXANNE",
        "middle_name": "OVALLES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95016173",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF95016173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.