Active NPI
Rosette Adegbe
- Adult Day Care Clinic/Center
- Corona, CA
National Provider Identifier
1790193472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- F0714839
- Legal business name
- ROSETTE ADEGBE
- Practice address
- 1084 Flager Ranch Rd
Corona, CA 92881-4730 - Phone
- (951) 549-6912
- Fax
- (951) 817-9041
- NPI assigned
- Jul 26, 2014
- Organization subpart
- Yes
- Parent organization
- NONE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rosette Jonathan Adegbe, NP-C
- Title
- FNP
- Phone
- (323) 806-5783
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | F0714839 | CA | Primary |
| Emergency Care Clinic/Center | 261QE0002X | |||
| Rehabilitation Hospital Unit | 273Y00000X | F0714839 | CA | |
| Health Maintenance Organization | 302R00000X | F0714829 | CA | |
| Adult Care Home Facility | 311ZA0620X | F0714839 | CA | |
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1084 Flager Ranch Rd
Corona, CA 92881-4730
Mailing address
1084 Flager Ranch Rd
Corona, CA 92881-4730
Phone (951) 549-6912
Other names 1
- Rosette Adegbe
National Provider Directory
National Provider Directory- Part of
- Joshua G Adegbe
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1942751706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406332800000",
"number": "1790193472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1084 FLAGER RANCH RD",
"city": "CORONA",
"state": "CA",
"postal_code": "928814730",
"telephone_number": "951-549-6912",
"fax_number": "951-817-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1084 FLAGER RANCH RD",
"city": "CORONA",
"state": "CA",
"postal_code": "928814730",
"telephone_number": "951-549-6912",
"fax_number": "951-817-9041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSETTE ADEGBE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NONE",
"enumeration_date": "2014-07-26",
"last_updated": "2014-07-26",
"status": "A",
"authorized_official_last_name": "ADEGBE",
"authorized_official_first_name": "ROSETTE",
"authorized_official_middle_name": "JONATHAN",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "323-806-5783",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "CA",
"license": "F0714839",
"primary": true
},
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "CA",
"license": "F0714839",
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CA",
"license": "F0714829",
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "CA",
"license": "F0714839",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rosette Adegbe",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.