Kallyn Rogers, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95008273 Issued in CA

Practice address

22331 Mission Blvd
Hayward, CA 94541

Phone

(510) 471-5907

NPI assigned

Aug 8, 2018

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: krogers270442@direct.ochin.org

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.

• Tiburcio Vasquez Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hayward, CA
  • NPI 1407373921
  NPD (past)
• Tiburcio Vasquez Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Castro Valley, CA
  • NPI 1912695263
  NPD (past)

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1578042701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22331 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413911",
            "telephone_number": "510-471-5580",
            "fax_number": "510-690-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22331 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94541",
            "telephone_number": "510-471-5907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19400 Santa Maria Ave Rm P7",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945463400",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KALLYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95008273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Albert Rodriguez, COUNSELOR/ADDICTION
• Starla Rodriguez
• Tatianna Monay Rodriguez, APCC
• Wendy Roehl
• Heather Rogers
• Kristie Rogers, PA-C
• Jacob Ryan Rojas
• Roman Catholic Bishop of Oakland, a Corporation Sole
• Abigail Aguilar Roman
• Angelica Roman

• Pediatric Nurse Practitioner in Hayward, CA
• Providers in Hayward, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.