Individual provider Active NPI

Ayn Rosell, NURSE PRACTITIONER

  • Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1700617511
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95031549 Issued in CA
Practice address
10832 Laurel St Ste 101
Rancho Cucamonga, CA 91730-7688
Phone
(909) 477-3015
Fax
(909) 477-3016
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95031549 CA Primary

Addresses

Primary practice location

10832 Laurel St Ste 101
Rancho Cucamonga, CA 91730-7688

Mailing address

10832 Laurel St Ste 101
Rancho Cucamonga, CA 91730-7688
Phone (909) 477-3015

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024001321 CA Practitioner - Nurse Practitioner 7315435997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10832 Laurel St
Suite 101
Rancho Cucamonga, CA 91730-3865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95031549CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vatsal Haren Mody M.D. Inc. CurrentSince Jul 18, 2025 Accepting new patients

Locations

10832 Laurel St
Ste 101
Rch Cucamonga, CA 91730
Phone (909) 477-3015

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/RNC0mGAiXtkLtK00WOVGaq2OiSLKKj4V/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1700617511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10832 LAUREL ST STE 101",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307688",
            "telephone_number": "909-477-3015",
            "fax_number": "909-477-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10832 LAUREL ST STE 101",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307688",
            "telephone_number": "909-477-3015",
            "fax_number": "909-477-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELL",
        "first_name": "AYN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95031549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.