Active NPI
Evangelina Rosete, MA
- Speech-Language Assistant
- Anaheim, CA
National Provider Identifier
1629354790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SPA3965
- Practice address
- 217 W Cerritos Ave
Anaheim, CA 92805-6549 - Phone
- (714) 776-1231
- NPI assigned
- Nov 2, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | RPE6231 | CA | |
| Speech-Language Assistant | 2355S0801X | SPA3965 | CA | Primary |
Addresses
Primary practice location
217 W Cerritos Ave
Anaheim, CA 92805-6549
Mailing address
217 W Cerritos Ave
Anaheim, CA 92805-6549
Other practice location 1
12966 Euclid St
Garden Grove, CA 92840-5200
Phone (714) 539-6207
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SPA3965 | CA | MD | Speech-Language Assistant |
| RPE6231 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1629354790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 W CERRITOS AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W CERRITOS AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056549",
"telephone_number": "714-776-1231"
}
],
"practiceLocations": [
{
"address_1": "12966 Euclid St",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928405200",
"country_code": "US",
"telephone_number": "714-539-6207",
"fax_number": "714-539-6209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSETE",
"first_name": "EVANGELINA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "RPE6231",
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "SPA3965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.