Active NPI
Rosela Mogul Hipolito, NURSE PRACTITIONER
- Nurse Practitioner
- Bellflower, CA
National Provider Identifier
1699424952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 16162
- Practice address
- 17620 Bellflower Blvd
Bellflower, CA 90706-8070 - Phone
- (562) 867-7098
- NPI assigned
- Mar 22, 2022
- 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 | 16162 | CA | Primary |
Addresses
Primary practice location
17620 Bellflower Blvd
Bellflower, CA 90706-8070
Mailing address
632 W Palm Ave
Monrovia, CA 91016-2635
Phone (562) 277-6780
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16162 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1699424952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 W PALM AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910162635",
"telephone_number": "562-277-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17620 BELLFLOWER BLVD",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907068070",
"telephone_number": "562-867-7098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIPOLITO",
"first_name": "ROSELA",
"middle_name": "MOGUL",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-22",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "16162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.