Individual provider Active NPI

Angelia Cecille Rogero, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1508503947
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04220567 Issued in CA
Practice address
1211 N Vermont Ave
Los Angeles, CA 90029-1748
Phone
(323) 426-9480
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 F04220567 CA Primary

Addresses

Primary practice location

1211 N Vermont Ave
Los Angeles, CA 90029-1748

Mailing address

12350 Del Amo Blvd Apt 1707
Lakewood, CA 90715-1719
Phone (818) 493-0267

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
I20231004001704 CA Practitioner - Nurse Practitioner 6103270590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashok Amin M D IncGroup PAC ID 1153488986, 5 clinicians

Practice addresses (Care Compare)

1711 W Romneya Dr
Anaheim, CA 92801-1804
Phone (714) 484-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F04220567CAMDFamily Nurse Practitioner
95036109CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashok Amin M D Inc CurrentSince Aug 12, 2023 Accepting new patients

Locations

1711 W Romneya Dr
Anaheim, CA 92801
Phone (714) 484-1200

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.

Hospital & facility affiliations 4

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": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1508503947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 DEL AMO BLVD APT 1707",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151719",
            "telephone_number": "818-493-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291748",
            "telephone_number": "323-426-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERO",
        "first_name": "ANGELIA CECILLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F04220567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.