Individual provider Active NPI

Rosalyn Roncesvalles Elarmo, FNP-C

  • Family Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1922432954
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23055 Issued in CA
Practice address
23180 Hemlock Ave Ste 201
Moreno Valley, CA 92557-8001
Phone
(951) 243-6460
Fax
(909) 463-8600
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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 23055 CA Primary

Addresses

Primary practice location

23180 Hemlock Ave Ste 201
Moreno Valley, CA 92557-8001

Mailing address

6377 Riverside Ave
Ste B101
Riverside, CA 92506-3133
Phone (951) 243-6460

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
I20150112000540 CA Practitioner - Nurse Practitioner 7517281066 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Pacific Senior GroupGroup PAC ID 6406204270, 8 clinicians

Practice addresses (Care Compare)

2424 Vista Way
Suite 105
Oceanside, CA 92054-6178
Phone (858) 876-5311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23055CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chino Emergency Medical Associates, Inc. CurrentSince Dec 5, 2015 Accepting new patients
PC Medical Clinic Inc Family CurrentSince May 1, 2021 Accepting new patients
Future Health Center Inc CurrentSince Jul 1, 2022 Accepting new patients
Pacific Senior Group CurrentSince Jul 8, 2025 Accepting new patients

Locations

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

23141 Verdugo Dr
Ste 201
Laguna Hills, CA 92653
Phone (310) 922-2537

1601 W Avenue J
Lancaster, CA 93534
Phone (661) 945-2716

2424 Vista Way
Ste 105
Oceanside, CA 92054
Phone (858) 209-3717

1690 Barton Rd
Ste 106
Redlands, CA 92373
Phone (909) 493-5859

27141 Hidaway Ave
Ste 204
Santa Clarita, CA 91351
Phone (661) 397-1177

Interoperability endpoints

  • Direct secure messaging: rosalyn.elarmo.1@27911.direct.athenahealth.com

Organizations & group practices 6

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": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1922432954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6377 RIVERSIDE AVE",
            "address_2": "STE B101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063133",
            "telephone_number": "951-243-6460",
            "fax_number": "909-463-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23180 HEMLOCK AVE STE 201",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925578001",
            "telephone_number": "951-243-6460",
            "fax_number": "909-463-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELARMO",
        "first_name": "ROSALYN",
        "middle_name": "RONCESVALLES",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.