Individual provider Active NPI

Aurora Rosales, FNP

  • Family Nurse Practitioner
  • Oakdale, CA
National Provider Identifier
1811486301
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009028 Issued in CA
Practice address
190 S Oak Ave
Oakdale, CA 95361-3528
Phone
(209) 848-8410
NPI assigned
May 9, 2018
Last updated
Feb 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95009028 CA Primary

Addresses

Primary practice location

190 S Oak Ave
Oakdale, CA 95361-3528

Mailing address

20127 3Rd St
Hilmar, CA 95324-9100
Phone (661) 406-8837

Other practice location 1

1909 Galileo Ct
Davis, CA 95618-4890
Phone (530) 758-5566

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201009000544 CA Practitioner - Nurse Practitioner 9436480324 Practice locations: Oakdale, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95009028CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revitalized Family Care Family Past Accepting new patients
Pathways Nursing Practitioners, Inc. 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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1811486301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20127 3RD ST",
            "city": "HILMAR",
            "state": "CA",
            "postal_code": "953249100",
            "telephone_number": "661-406-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S OAK AVE",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613528",
            "telephone_number": "209-848-8410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Galileo Ct",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956184890",
            "country_code": "US",
            "telephone_number": "530-758-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "AURORA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

Verify at the official NPI Registry.