Jeanette Delos Reyes Rosete-Okamoto

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

147823 Issued in CA

Practice address

4930 Naples St
San Diego, CA 92110-3820

Phone

(619) 276-1176

NPI assigned

Oct 7, 2020

Last updated

Oct 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1942807581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 NAPLES ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103820",
            "telephone_number": "619-276-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 NAPLES ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103820",
            "telephone_number": "619-276-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSETE-OKAMOTO",
        "first_name": "JEANETTE",
        "middle_name": "DELOS REYES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "147823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara G Rosenthal, M.D.
• Douglas Ryan Rosentrater, OTR/L
• Marlene L Rosenwald-Becker, NP
• Kim Christine Roser-Kedward, LCSW
• Chammy Roses
• Ivan Rosete
• Jazmin Roshan
• Roshanak Roshanzamir, DMD
• Jawaid Roshnaye, ND
• Darrah Rosin

• Licensed Vocational Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.