Individual provider Active NPI

Rosemarie Soriano

  • Family Nurse Practitioner
  • Cerritos, CA
National Provider Identifier
1477327724
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027868 Issued in CA
Practice address
17215 Studebaker Rd Ste 215
Cerritos, CA 90703-2523
Phone
(714) 600-5396
NPI assigned
Nov 7, 2023
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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 95027868 CA Primary

Addresses

Primary practice location

17215 Studebaker Rd Ste 215
Cerritos, CA 90703-2523

Mailing address

17215 Studebaker Rd Ste 215
Cerritos, CA 90703-2523
Phone (714) 600-5396

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
I20240309000412 CA Practitioner - Nurse Practitioner 7315104155 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95027868CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SDKJ Forever, LLC. PastSince May 15, 2020 Accepting new patients
Absolute Hospice & Palliative Care Inc PastSince Nov 12, 2023 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Joy Health Care ServicesStanton, CA, CCN 058188 Home health agency 5% Or Greater Direct Ownership Interest (33.33%)
Corporate Officer (33.33%)
Operational/Managerial Control (33.33%)
Jul 30, 2020
Jul 30, 2020
Jul 30, 2020
Beacon Hospice CareOntario, CA, CCN 751732 Hospice 5% Or Greater Direct Ownership Interest (65%)
Corporate Officer (50%)
Operational/Managerial Control (50%)
Sep 16, 2016
Sep 16, 2016
Sep 16, 2016
Absolute Hospice & Palliative Care IncCerritos, CA, CCN 921707 Hospice 5% Or Greater Direct Ownership Interest (50%)
Corporate Director (50%)
W-2 Managing Employee (50%)
Operational/Managerial Control (50%)
Feb 14, 2015
Feb 14, 2015
Feb 14, 2015
Feb 14, 2015

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1477327724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER RD STE 215",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032523",
            "telephone_number": "714-600-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER RD STE 215",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032523",
            "telephone_number": "714-600-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "ROSEMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.