MRS. MARILYN ROSCA (NPI# 1194177188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194177188 |
Entity Type | Individual |
Full Name | MRS. MARILYN ROSCA |
Credential | NURSE PRACTITIONER |
Practice Address |
12234 Renville St Lakewood CA 90715-1605 |
Practice Telephone | 5622286346 |
Mailing Telephone | 5622286346 |
Enumeration Date | 2016-07-01 |
Last Update Date | 2016-07-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
95004493 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
12234 RENVILLE ST |
City | LAKEWOOD |
State | CA |
Zip Code | 90715-1605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437510674 | Katie Perez | Technician, Other | 11907 205 St, Lakewood, CA 90715 | 2016-03-16 |
1699171504 | Amanda N Mcginnis | Dental Hygienist | 21001 Dalaman Ave, Lakewood, CA 90715 | 2014-11-05 |
1356458020 | Ellen L Chen | Dentist | 20147 S Pioneer Blvd, Lakewood, CA 90715 | 2006-08-25 |
1407012958 | Suraiya Motala | Student in an Organized Health Care Education/Training Program | 20215 Village Green Dr, Lakewood, CA 90715-1010 | 2008-08-04 |
1881250009 | Jennifer Roche-sheets | Counselor | 20133 Jersey Ave, Lakewood, CA 90715-1047 | 2019-05-13 |
1285766253 | Woosung Ahn, M.d., Inc | Internal Medicine | 20145 Pioneer Blvd, Lakewood, CA 90715-1051 | 2007-03-12 |
1396807806 | Woo Sung Ahn | Internal Medicine | 20145 S Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-14 |
1881754489 | Candice Yee Chen | Dentist | 20147 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-12 |
1972515195 | Younghae Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 20141 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-08-13 |
1114942711 | Ralphs Grocery Company | Durable Medical Equipment & Medical Supplies | 20137 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-07-13 |
Find all providers in zip 90715 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245767466 | Karen Lee Keller | Nurse Practitioner | 5903 Hayter Ave, Lakewood, CA 90712-1047 | 2017-05-18 |
1407390735 | Annette Eric D'souza | Nurse Practitioner | 500 River Avenue Unit 140, Lakewood, NJ 08701 | 2016-12-06 |
1073903282 | Housecalls of The Falls | Nurse Practitioner | 15526 Hilliard Rd, Lakewood, OH 44107-3813 | 2015-01-26 |
1528081957 | Lindsey Ekland | Nurse Practitioner | 7424 Bridgeport Way W Ste 301, Lakewood, WA 98499-8135 | 2006-07-26 |
1366468811 | Sandra Jorgensen | Nurse Practitioner | 16313 Lake Ave, Lakewood, OH 44107-1250 | 2006-07-15 |
1548879844 | Rowena Houston | Nurse Practitioner | 3300 E South St Ste 206, Lakewood, CA 90805-4590 | 2020-07-23 |
1841822343 | Michelle Lynn Juckett | Nurse Practitioner | 685 River Ave, Lakewood, NJ 08701-5288 | 2020-02-12 |
1144881384 | Sherri Whitaker | Nurse Practitioner | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2019-06-27 |
1871081737 | Fatimah Aisha Johnson | Nurse Practitioner | 1526 Cole Blvd Ste 300, Lakewood, CO 80401-3410 | 2018-04-26 |
1417498213 | Laura Miller | Nurse Practitioner | 1526 Cole Blvd Ste 300, Lakewood, CO 80401-3410 | 2017-03-13 |
Find all providers in LAKEWOOD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.