Individual provider Active NPI

Rosa Patricia Gines, RN

  • Case Management Registered Nurse
  • Pomona, CA
National Provider Identifier
1790013969
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
755940 Issued in CA
Practice address
680 Fairplex Dr
Pomona, CA 91768-1100
Phone
(909) 620-8088
Fax
(909) 525-9278
NPI assigned
Nov 30, 2009
Last updated
Nov 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 755940 CA Primary

Addresses

Primary practice location

680 Fairplex Dr
Pomona, CA 91768-1100

Mailing address

680 Fairplex Dr
Pomona, CA 91768-1100
Phone (909) 620-8088

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
755940CAMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Community Health Center, Inc. Past Accepting new patients
East Valley Community Health Center Past Accepting new patients

Organizations & group practices 2

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": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1790013969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 FAIRPLEX DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681100",
            "telephone_number": "909-620-8088",
            "fax_number": "909-525-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 FAIRPLEX DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681100",
            "telephone_number": "909-620-8088",
            "fax_number": "909-525-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINES",
        "first_name": "ROSA",
        "middle_name": "PATRICIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "755940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.