Javier Nova Rosa, BSN RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95171572 Issued in CA

Practice address

1980 Allston Way # H-105
Berkeley, CA 94704-1463

Phone

(510) 644-6965

Fax

(206) 252-7701

NPI assigned

Sep 12, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nova Clawson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: javier.novarosa.p1@direct.cobph.nextgenshare.com

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.

• City of Berkeley

  • Ambulatory Family Planning Facility
  • Berkeley, CA
  • NPI 1487972790
  NPD (past)

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1780132456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 ALLSTON WAY # H-105",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041463",
            "telephone_number": "510-644-6965",
            "fax_number": "206-252-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 ALLSTON WAY # H-105",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041463",
            "telephone_number": "510-644-6965",
            "fax_number": "206-252-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVA ROSA",
        "first_name": "JAVIER",
        "credential": "BSN RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-12",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN60656273",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95171572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOVA",
            "last_name": "CLAWSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Northern California Hematology and Oncology Consultants, Inc
• Claudia Norton, MSW, LCSW
• Craig D Norton, RPT
• Delanie B Norton, PT
• Graham Stuart Norwood
• Margaret Novotny, LCSW
• Alisa Castleton Nowik, PSY.D.
• Librado Eloy Nunez, SNR. CHWS
• Nurturing Health Physical Therapy
• Ada Nwadugbo

• Registered Nurse in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.