ROSELVA MENDOZA ROSETELOPEZ (NPI# 1306894605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306894605 |
| Entity Type | Individual |
| Full Name | ROSELVA MENDOZA ROSETELOPEZ |
| Credential | RN |
| Practice Address |
1901 Anzio Street Fort Irwin CA 92310-1613 |
| Mailing Address |
1901 Anzio St Fort Irwin CA 92310-1613 |
| Practice Telephone | 7603861490 |
| Mailing Telephone | 7603861490 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0003X |
Registered Nurse Specialization: Obstetric, Inpatient |
RN120451 | AZ | Nursing Service Providers |
| Street Address |
1901 ANZIO STREET |
| City | FORT IRWIN |
| State | CA |
| Zip Code | 92310-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100568 | Kellyann Michelle Francis | Dental Hygienist | 171, 4th St., Fort Irwin, CA 92310 | 2020-10-06 |
| 1598362253 | Lauren Elisabeth O'keefe | Dental Hygienist | 172 4th Street, Fort Irwin, CA 92310 | 2020-10-06 |
| 1215583737 | Lyra Angelica Velayo Matin | Marriage & Family Therapist | Bldg 390 N Loop Road, Fort Irwin, CA 92310 | 2019-08-12 |
| 1003384629 | Gary Barrow | Chiropractor | 390 Outerloop Rd, Fort Irwin, CA 92310 | 2018-11-13 |
| 1801373055 | Lee John Bizon Jr. | Nurse Practitioner | 390 North Loop Rd, Fort Irwin, CA 92310 | 2018-07-20 |
| 1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
| 1841713195 | James Degroot | Registered Nurse | Weed Army Community Hospital 390 North Loop Rd., Fort Irwin, CA 92310 | 2017-07-19 |
| 1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
| 1568917136 | Kathryn Paine | Physical Therapist | Building 390, North Loop Rd, Fort Irwin, CA 92310 | 2016-08-23 |
| 1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
| Find all providers in zip 92310 | ||||
| Taxonomy Code | 163WX0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Obstetric, Inpatient |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952332611 | Robin R Harrold | Registered Nurse | Weed Army Community Hosp Bldg 166 4th and Inner Loop, Fort Irwin, CA 92310 | 2006-07-05 |
| 1306031604 | Holly Jo Massey | Registered Nurse | 4th & Inner Loop, Fort Irwin, CA 92310-5109 | 2007-09-10 |
| 1538231378 | Jessica Ann Moreland | Registered Nurse | 4th and Inner Loop, Usa Meddac, Fort Irwin, CA 92310 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499110 | Megan Catherine Mellon | Registered Nurse | 29 S Daisy Ave Apt 6, Pasadena, CA 91107-4300 | 2020-05-19 |
| 1568848422 | Vanessa Tovar | Registered Nurse | 5730 Riverside Dr Bldg 625, March Arb, CA 92518-1830 | 2015-08-03 |
| 1699016014 | Darcy Rebecca Gepilano | Registered Nurse | 9461 Hollow Springs Way, Elk Grove, CA 95624-4076 | 2013-03-11 |
| 1376883512 | Claire Manning | Registered Nurse | 1145 N Poinsettia Ave, Manhattan Beach, CA 90266-4917 | 2013-02-26 |
| 1417200106 | Tomi Christine Warren | Registered Nurse | 308 N Sanders St, Ridgecrest, CA 93555-3640 | 2012-10-18 |
| 1144587726 | Linda Marie Bergman | Registered Nurse | 15243 Vanowen St Ste 501, Van Nuys, CA 91405-3600 | 2012-04-19 |
| 1740423292 | Karen Neuenschwander | Registered Nurse | Bldg 166 Inner Loop & 4th St., Ft. Irwin, CA 92310 | 2009-04-14 |
| 1245453372 | Shaun Michelle Jordan | Registered Nurse | 3633 Martin Luther King Jr Blvd Ste 3, Lynwood, CA 90262-3510 | 2007-04-10 |
| 1780670232 | Rachelle Marie Mueller | Registered Nurse | 3268 Via Ensenada, San Luis Obispo, CA 93401-6970 | 2005-09-21 |
| 1750906665 | Karen Whippy | Registered Nurse | 1570 Soquel Dr Ste 4, Santa Cruz, CA 95065-1715 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT IRWIN |
| Zip Code | 92310 |
Please comment or provide details below to improve the information on ROSELVA MENDOZA ROSETELOPEZ.
| 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.