Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JOHNNY ANTHONY DE LA ROSA IV
NPI 1407755572
Licensed Vocational Nurse in Loma Linda, CA

Q: What is Johnny De La Rosa's NPI number?

The NPI number for Johnny De La Rosa is 1407755572. It was assigned to this individual provider in the NPPES registry on November 4, 2026.

Q: What is Johnny De La Rosa's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Johnny De La Rosa was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since November 04, 2026

11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record added: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Johnny Anthony De La Rosa Iv NPPES

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

JOHNNY ANTHONY DE LA ROSA IV (NPI 1407755572) is an individual licensed vocational nurse in Loma Linda, California, licensed in California (290292) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1407755572

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameJOHNNY ANTHONY DE LA ROSA IV

Location Address11201 BENTON STLoma Linda, CA 92357-1000

Mailing Address11201 Benton StLoma Linda, CA 92357-1000

Phone(909) 825-7084

Sole ProprietorNo

Enumeration DateNovember 4, 2026

NPPES CertifiedNovember 4, 2026

✔ NPI 1407755572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 290292

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

11201 BENTON ST, Loma Linda, CA 92357

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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.

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11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357

San Bernardino County (909) 825-7084

JUNGMI LEE LCSW

Social Worker (Clinical)