Kalysta Rose, is a
Student In An Organized Health Care Education/training Program based in Murrieta, California. Kalysta Rose is licensed to practice in * (Not Available) (license number ) and her current practice location is
41551 Date St, Murrieta, California. She can be reached at her office (for appointments etc.) via phone at
(951) 465-3664.
NPI number for Kalysta Rose is 1225816192 and her current mailing address is 41551 Date St, Murrieta, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225816192.
Healthcare Provider's Profile
| Full Name | Kalysta Rose |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 41551 Date St, Murrieta, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225816192
- Provider Enumeration Date: 09/20/2023
- Last Update Date: 02/17/2025
Medical Identifiers
Medical identifiers for Kalysta Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225816192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kalysta Rose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kalysta Rose,
41551 Date St,
Murrieta, CA 92562-7086
Ph: (951) 465-3664 | Kalysta Rose,
41551 Date St,
Murrieta, CA 92562-7086
Ph: (951) 465-3664 |
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