Organization Active NPI

Rosette Adegbe

  • Adult Day Care Clinic/Center
  • Corona, CA
National Provider Identifier
1790193472
Registry record updated Jul 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
F0714839 Issued in CA
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
NONEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2014

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)CodeLicenseStatePrimary
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 PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Other name

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.

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.

Verify at the official NPI Registry.