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

Michellin De la Rosa

Individual provider Family Nurse Practitioner · NPI 1962967778

Michellin De la Rosa is a Nurse Practitioner in Panorama City, California. Qualified in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

14457 Roscoe Blvd
Panorama City, CA 91402-3012
Phone: (818) 810-5947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10889 Wellworth Ave, Los Angeles, CA 90024-4918 — (310) 474-2152

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95010751 (CA)

Record details

NPI number1962967778
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 6, 2019
Last updated in NPPESSeptember 21, 2023
Certification dateDecember 11, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Panorama City