Individual provider Active NPI

Corinne Del Rosario, MSN, FNP-C

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1871758912
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16700 Issued in CA
Practice address
10833 Le Conte Ave
Box 951738
Los Angeles, CA 90095-1738
Phone
(310) 206-6766
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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 16700 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave
Box 951738
Los Angeles, CA 90095-1738

Mailing address

200 Medical PLZ Ste 165-41
Los Angeles, CA 90095-0001

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
I20191107000685 CA Practitioner - Nurse Practitioner 7012257645 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16700CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Ananda Medical and Urgent Care, Inc. CurrentSince Aug 13, 2019 Accepting new patients
UCLA Medical Group Past Accepting new patients
UCLA Urology Associates Past Accepting new patients

Locations

10948 Ramona Blvd
El Monte, CA 91731
Phone (626) 442-3516

1648 Tyler Ave
Ste B
South El Monte, CA 91733
Phone (626) 331-1560

Interoperability endpoints

  • Direct secure messaging: cdelrosario59828@direct.uclahealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1871758912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLZ STE 165-41",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "BOX 951738",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951738",
            "telephone_number": "310-206-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL ROSARIO",
        "first_name": "CORINNE",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "16700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.