Active NPI
Rosemary A. Vannix, NP
- Critical Care Pediatric Nurse Practitioner
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pediatric Nurse Practitioner
- License
- 6707
- Practice address
- 11175 Campus St.
Coleman Pavilion Suite 2111B
Loma Linda, CA 92350 - Phone
- (909) 558-4619
- Fax
- (909) 558-7978
- NPI assigned
- Feb 21, 2007
- Last updated
- Oct 20, 2020
- 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 |
|---|---|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 6707 | CA | Primary |
| Registered Nurse First Assistant | 163WR0006X | 364082 | CA |
Addresses
Primary practice location
11175 Campus St.
Coleman Pavilion Suite 2111B
Loma Linda, CA 92350
Mailing address
11175 Campus St.
Coleman Pavilion Suite 2111B
Loma Linda, CA 92350
Phone (909) 558-4619
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Physicians' Hospital of Murrieta, LLC | Past | Accepting new patients |
Locations
7223 Church St
Ste C1
Highland, CA 92346
Phone (909) 425-3946
11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
11401 Heacock St
Ste 330
Moreno Valley, CA 92557
Phone (951) 247-8697
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba Loma Linda University Medical Center-Murrieta
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- Murrieta, CA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1669517991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11175 CAMPUS ST.",
"address_2": "COLEMAN PAVILION SUITE 2111B",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92350",
"telephone_number": "909-558-4619",
"fax_number": "909-558-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11175 CAMPUS ST.",
"address_2": "COLEMAN PAVILION SUITE 2111B",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92350",
"telephone_number": "909-558-4619",
"fax_number": "909-558-7978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNIX",
"first_name": "ROSEMARY",
"middle_name": "A.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "CA",
"license": "6707",
"primary": true
},
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "CA",
"license": "364082",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.