Individual provider Active NPI

Kristina Anne Flores Rosano

  • Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1629600762
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95050174 Issued in CA
Practice address
701 W Cesar E Chavez Ave Ste 201
Los Angeles, CA 90012-2185
Phone
(213) 217-5300
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95050174 CA Primary

Addresses

Primary practice location

701 W Cesar E Chavez Ave Ste 201
Los Angeles, CA 90012-2185

Mailing address

747 Fieldview Ave
Duarte, CA 91010-1502
Phone (626) 863-8731

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

State licenses

LicenseStateTypeSpecialty
95050174CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1629600762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 FIELDVIEW AVE",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101502",
            "telephone_number": "626-863-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W CESAR E CHAVEZ AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122185",
            "telephone_number": "213-217-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSANO",
        "first_name": "KRISTINA ANNE",
        "middle_name": "FLORES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95050174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.