Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charo Medrozo Vitug

Individual provider Acute Care Nurse Practitioner · NPI 1720826043

Charo Medrozo Vitug is a Nurse Practitioner in Antioch, California. Qualified in 2020, 6 years ago. Practices with Post Acute Rehabilitation Physicians LLC, a 40-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

5401 Paularo Way
Antioch, CA 94531-5026
Phone: (252) 452-8199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 95020566 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 95020566 (CA)

Record details

NPI number1720826043
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 19, 2024
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing address5401 Paularo Way, Antioch, CA 94531-5026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Post Acute Rehabilitation Physicians Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Antioch