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

Miss. Rosan Mendoza Derayunan, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1740942481

Miss. Rosan Mendoza Derayunan, FNP-BC is a Nurse Practitioner in Simi Valley, California. Qualified in 2021, 5 years ago. Practices with Humanity Medical Group Inc, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1720 E Los Angeles Ave Ste 231
Simi Valley, CA 93065-5813
Phone: (805) 980-7574
Fax: (805) 426-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2788 Fyler Pl, Los Angeles, CA 90065-5106 — (323) 317-1769

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95018575 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 95018575 (CA)

Record details

NPI number1740942481
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 11, 2021
Last updated in NPPESMarch 4, 2023
Certification dateMarch 4, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Humanity Medical Group Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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