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

Russell Del Rosario

Individual provider Family Nurse Practitioner · NPI 1942699574

Russell Del Rosario is a Nurse Practitioner in Antioch, California. Qualified in 2014, 12 years ago. Practices with Hospitalist Medicine Physicians of New Mexico - Clovis LLC, a 40-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

4053 Lone Tree Way Ste 101
Antioch, CA 94531-6210
Phone: (925) 756-3499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95002097 (CA)

Record details

NPI number1942699574
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 20, 2015
Last updated in NPPESAugust 28, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Hospitalist Medicine Physicians Of New Mexico - Clovis Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Antioch