Healthcare Provider Details

I. General information

NPI: 1942146089
Provider Name (Legal Business Name): MELANIE L DEL ROSARIO RN,LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4770 ELM TREE DR
OCEANSIDE CA
92056-3519
US

IV. Provider business mailing address

4770 ELM TREE DR
OCEANSIDE CA
92056-3519
US

V. Phone/Fax

Practice location:
  • Phone: 630-788-1009
  • Fax: 888-830-7613
Mailing address:
  • Phone: 630-788-1009
  • Fax: 888-830-7613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number728429
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041536885
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: