Active NPI
Rodelia Rafael Busalpa, FNP
- Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1558696096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 18970
- Practice address
- 4150 Clement St # 111-H1
San Francisco, CA 94121-1563 - Phone
- (415) 221-4810
- Fax
- (415) 750-6656
- NPI assigned
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 18970 | CA | Primary |
Addresses
Primary practice location
4150 Clement St # 111-H1
San Francisco, CA 94121-1563
Mailing address
4150 Clement St # 111-H1
San Francisco, CA 94121-1563
Phone (415) 221-4810
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN708344, NP18970 | Other | CA | CALIFORNIA BOARD OF NURSING |
| 200942619RN | Other | OR | OREGON STATE BOARD OF NURSING |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18970 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Multi-Specialty | Past | 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": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1558696096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 CLEMENT ST # 111-H1",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941211563",
"telephone_number": "415-221-4810",
"fax_number": "415-750-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 CLEMENT ST # 111-H1",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941211563",
"telephone_number": "415-221-4810",
"fax_number": "415-750-6656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSALPA",
"first_name": "RODELIA",
"middle_name": "RAFAEL",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "18970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF NURSING",
"identifier": "RN708344, NP18970",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON STATE BOARD OF NURSING",
"identifier": "200942619RN",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.