Rosemarie Bersabe, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20519 Issued in CA

Practice address

1642 E. Capitol Expressway
San Jose, CA 95121-1800

Phone

(408) 445-3400

Fax

(408) 238-3874

NPI assigned

Apr 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rosemarie Dela Cruz Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Indian Health Center of Santa Clara Valley

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1881997963
  Medicare reassignment NPD

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1730478488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 E. CAPITOL EXPRESSWAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211800",
            "telephone_number": "408-445-3400",
            "fax_number": "408-238-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 E. CAPITOL EXPRESSWAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211800",
            "telephone_number": "408-445-3400",
            "fax_number": "408-238-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSABE",
        "first_name": "ROSEMARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEMARIE",
            "last_name": "DELA CRUZ",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kobe Berry
• Matthew Luis Berry, LPCC
• Berryessa Optometry, a Professional Corp
• Berryessa Union Elementary School District
• Patsy Berryhill
• Brian Bersbach, PHARMD
• Carl Andrew Bertelsen, MD
• Dorian Gabriel Berthoud
• Donald George Berti, MFT
• Lois Bertner

• Family Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.

Verify at the official NPI Registry.