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KRISTINE ROSAS
NPI 1396440350
Student in an Organized Health Care Education/Training Program in Santa Ana, CA

Active since March 31, 2023PECOS Enrolled
1900 E 4TH ST, SANTA ANA, CA 92705(833) 574-2273 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristine Rosas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINE ROSAS (NPI 1396440350) is an individual student in an organized health care education/training program in Santa Ana, California and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396440350
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRISTINE ROSAS
Location Address1900 E 4TH STSanta Ana, CA 92705-3910
Mailing Address1900 E 4th StSanta Ana, CA 92705-3910
Phone(833) 574-2273
Sole ProprietorNo
Enumeration DateMarch 31, 2023
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedMarch 31, 2023
✔ NPI 1396440350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1900 E 4TH ST, Santa Ana, CA 92705
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristine Rosas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kristine Rosas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
7.4 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL JAMES PANOWICZ
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4766
ALEXANDER WONG DO
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (833) 574-2273
DR. RHETT MARK BARTOLOME D.O.
Family Medicine
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4675
DR. CHRISTOPHER THOMAS DONNELLY M.D.
Obstetrics & Gynecology
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4700
LILY LEE D.O.
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 674-4766
CRYSTAL CHEUNG
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4766
ANDREW TAEHWAN SHIN DO
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4548
KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (866) 353-5060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Rosas's NPI number?

The NPI number for Kristine Rosas is 1396440350. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Kristine Rosas located?

Kristine Rosas practices at 1900 E 4th St, Santa Ana, CA 92705. The listed phone number is (833) 574-2273.

What is Kristine Rosas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kristine Rosas enrolled in Medicare?

Yes. Kristine Rosas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristine Rosas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Rosas reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristine Rosas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristine Rosas was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.