Nicolaus Gus Rosete, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95007370 Issued in CA

Practice address

4913 Helbush Dr
Lakeport, CA 95453-7060

Phone

(707) 262-4253

NPI assigned

Oct 27, 2017

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Altamed Health Services Corp

  • PACE Provider Organization
  • Huntington Park, CA
  • NPI 1942431374
  NPD (past)

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1982116141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 E VAUGHT CT",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 HELBUSH DR",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954537060",
            "telephone_number": "707-262-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSETE",
        "first_name": "NICOLAUS",
        "middle_name": "GUS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95007370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Jolin DC a Chiropractic Corporation
• Joan Rogers
• Shauna Rogers
• Tammy Rogers
• Bernard Roseman, RX
• Diane Sigrid Rowe, PHARMD
• Johanna Ruiz, RN, PHN, MSN
• Sacred Life Recovery Services
• Alireza Sadre-Nassiri, D.M.D.
• Safeway Inc

• Primary Care Nurse Practitioner in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.