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Roshally Hutabarat, LVN
NPI 1679760573 · Licensed Vocational Nurse · San Bernardino, CA
Roshally Hutabarat, LVN is a Licensed Vocational Nurse provider in San Bernardino, CA (NPI 1679760573).
Provider details
- NPI number
- 1679760573
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- Yes
- License
- VA 209395 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
264 E 18th St
San Bernardino, CA 92404-4708
Phone: (909) 883-0288
Street-level locationGet directions
Mailing address
25502 Portola Loop
Loma Linda, CA 92354
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 2007-09-25
Frequently asked questions
- What is Roshally Hutabarat's NPI number?
- Roshally Hutabarat's National Provider Identifier (NPI) is 1679760573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roshally Hutabarat's specialty?
- Roshally Hutabarat is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Roshally Hutabarat located?
- Roshally Hutabarat's practice location on file with NPPES is 264 E 18th St, San Bernardino, CA 92404-4708.
- What is Roshally Hutabarat's phone number?
- The practice phone number listed in the NPPES registry for Roshally Hutabarat is (909) 883-0288.
- Is Roshally Hutabarat's NPI active?
- Yes — Roshally Hutabarat's NPI (1679760573) is active in the NPPES registry as of the last update on 2007-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.