RUSSELL DEL ROSARIO NPI 1942699574

NPI Information

NPI: 1942699574
Provider Name: RUSSELL DEL ROSARIO
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4053 LONE TREE WAY
SUITE 101
ANTIOCH, CA
ZIP 94531
Phone: (925) 756-3499
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Russell Del Rosario is a family nurse practitioner in Antioch, CA with 10 years of experience. Russell Del Rosario NPI is 1942699574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4053 LONE TREE WAY
SUITE 101
ANTIOCH, CA
ZIP 94531-210
Phone: (925) 756-3499

The NPI 1942699574 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/20/2015 and was last updated on 8/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95002097	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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