Individual provider Active NPI

Rose Vargas, FNP

  • Family Nurse Practitioner
  • Orange, CA
National Provider Identifier
1992199277
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
390435 Issued in CA
Practice address
101 The City Dr S
Orange, CA 92868-3201
Phone
(714) 880-7812
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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 390435 CA Primary

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986

Other practice location 1

23451 Madison St
Suite 340
Torrance, CA 90505-4763
Phone (310) 373-6864

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
I20150529002220 CA Practitioner - Nurse Practitioner 6901013770 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

180 Via Verde
Suite 100
San Dimas, CA 91773-3989

1840 E Ray Rd
Chandler, AZ 85225-8720

200 S Manchester Ave
Suite 300
Orange, CA 92868-3219

23451 Madison St
Suite 340
Torrance, CA 90505-4763

5221 Purdue Ave
Culver City, CA 90230-5349

5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-5443

6557 Greenleaf Ave
Whittier, CA 90601-4108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
390435CAMDFamily Nurse Practitioner
95001979CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince May 1, 2019 Accepting new patients
Stephen R. Shea, M.D., Inc. CurrentSince Feb 19, 2016 Accepting new patients
Association of South Bay Surgeons CurrentSince Apr 7, 2015 Accepting new patients
Pih Health Physicians CurrentSince May 1, 2019 Accepting new patients
Stephen R Shea, M.D., Inc CurrentSince Feb 19, 2016 Accepting new patients
Pih Health Physicians Current Accepting new patients
Global Wound Care Medical Group CurrentSince Aug 14, 2023 Accepting new patients
Uci Department of Urology CurrentSince Dec 19, 2022 Accepting new patients
High Desert Urology Medical Group, Inc Current Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

23451 Madison St
Ste 340
Torrance, CA 90505
Phone (310) 373-6864

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 9

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": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1992199277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219",
            "telephone_number": "714-456-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-880-7812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23451 Madison St",
            "address_2": "SUITE 340",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054763",
            "country_code": "US",
            "telephone_number": "310-373-6864",
            "fax_number": "310-373-6065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "390435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.