Individual provider Active NPI

Maria Guadalupe Rojo, FNP-C

  • Family Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1710441001
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011018 Issued in CA
Practice address
631 S Brookhurst St
Anaheim, CA 92804-3510
Phone
(714) 991-5700
NPI assigned
Jan 30, 2019
Last updated
Jul 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011018 CA Primary

Addresses

Primary practice location

631 S Brookhurst St
Anaheim, CA 92804-3510

Mailing address

631 S Brookhurst St Ste 101
Anaheim, CA 92804-3563
Phone (714) 991-5700

Other names 1

  • Maria Guadalupe Rojo Former name

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
I20200723002005 CA Practitioner - Nurse Practitioner 7012331028 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portola Medical Services PCGroup PAC ID 4789970773, 22 clinicians

Practice addresses (Care Compare)

1511 E Katella Ave
Orange, CA 92867-5025
Phone (844) 254-6382

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Urgentcare Medical Group Incorporated CurrentSince Apr 22, 2020 Accepting new patients
Oc Urgentcare Medical Group Incorporated CurrentSince Apr 22, 2020 Accepting new patients
Portola Medical Services PC CurrentSince Apr 20, 2022 Accepting new patients
Cypress Urgent Care, Inc PastSince Oct 1, 2009 Accepting new patients

Locations

631 S Brookhurst St
Ste 101
Anaheim, CA 92804
Phone (714) 991-5700

6876 Katella Ave
Cypress, CA 90630
Phone (714) 903-8900

9025 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (844) 254-6382

25461 Rancho Niguel Rd
Laguna Niguel, CA 92677
Phone (844) 254-6382

29100 Portola Pkwy
Ste B
Lake Forest, CA 92630
Phone (844) 254-6382

1511 E Katella Ave
Orange, CA 92867
Phone (844) 254-6382

20635 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 581-9497

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADEBBD
  • Direct secure messaging: maria.guadalupe.rojo.1@15000.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1710441001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 S BROOKHURST ST STE 101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043563",
            "telephone_number": "714-991-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S BROOKHURST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043510",
            "telephone_number": "714-991-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJO",
        "first_name": "MARIA GUADALUPE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA GUADALUPE",
            "last_name": "ROJO",
            "credential": "GUADALUPE GONZALEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.