DR. SCOTT JEFFREY ROSE (NPI# 1043480858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043480858 |
| Entity Type | Individual |
| Full Name | DR. SCOTT JEFFREY ROSE |
| Credential | M.D. |
| Practice Address |
1688 N Perris Blvd Suite L6-11 Perris CA 92571-4709 |
| Mailing Address |
5131 Keana Ct Fair Oaks CA 95628-5355 |
| Practice Telephone | 9514432200 |
| Practice Fax Number | 9514432230 |
| Mailing Telephone | 9169667673 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2016-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
G039729 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G039729 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962030957 | Scott Parkey Rose | Student in an Organized Health Care Education/Training Program | 42227 Forest Ln, Hammond, LA 70403-2178 | 2020-03-27 |
| 1619126521 | Scott Curtis Rose | Counselor | 937 Fairmont Ave, Salisbury, NC 28144-6131 | 2008-09-16 |
| 1114371762 | Scott Rose | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157 | 2016-04-20 |
| 1356775175 | Scott Rose | Acupuncturist | 607 Market St Ste A, Kirkland, WA 98033-5404 | 2013-08-28 |
| 1295903441 | Scott A Rose | Hearing Instrument Specialist | 5593 Stewart St, Milton, FL 32570-4344 | 2008-02-11 |
| 1073729422 | Scott Patrick Rose | Dentist | 55 Whitcher St Ne, Suite 140, Marietta, GA 30060-1155 | 2007-05-15 |
| 1821142019 | Scott Wendell Rose | Physical Therapist | 12855 N 40 Dr, Saint Louis, MO 63141-8657 | 2007-01-23 |
| 1841356052 | Scott Leslie Rose | Dentist | 6200 Som Center Rd, Suite B-10, Solon, OH 44139-2944 | 2006-12-29 |
| 1184783961 | Scott Harms Rose | Social Worker | 30 N Michigan Ave, Ste. 829, Chicago, IL 60602-3402 | 2006-12-07 |
| 1144330358 | Scott G Rose | Surgery | 8111 Dodge St, Suite 263, Omaha, NE 68114-4129 | 2006-08-30 |
| Street Address |
1688 N PERRIS BLVD SUITE L6-11 |
| City | PERRIS |
| State | CA |
| Zip Code | 92571-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689785651 | Charolette A Barnes-leblanc | Optometrist | 1688 N Perris Blvd, Ste L5, Perris, CA 92571-4709 | 2006-08-31 |
| 1043849847 | Phonmany Phengphavong | Licensed Vocational Nurse | 1688 N Perris Blvd, Perris, CA 92571-4709 | 2020-04-03 |
| 1265945323 | Dalbir Kaur | Pharmacist | 1688 N Perris Blvd, Perris, CA 92571-4709 | 2017-11-13 |
| 1700328929 | Riverside County Mental Health Dept. | Counselor | 1688 N Perris Blvd, Suite L6-11, Perris, CA 92571 | 2016-11-07 |
| 1528429735 | Elizabeth Chon | Case Manager/Care Coordinator | 1688 N Perris Blvd, L 6-11, Perris, CA 92571-4709 | 2016-03-15 |
| 1548642150 | Brenda Preston | Counselor | 1688 N Perris Blvd, Suite L1-2, Perris, CA 92571-4709 | 2015-06-19 |
| 1861895088 | Jeremy Jin-ho Choi | Dentist | 1688 N Perris Blvd, Ste. G-1, Perris, CA 92571-4709 | 2014-10-01 |
| 1851791842 | Julie Casillas | Case Manager/Care Coordinator | 1688 N Perris Blvd, Ste L 6-11, Perris, CA 92571-4709 | 2014-08-27 |
| 1942614243 | Shawill Tadres | Pharmacist | 1688 N Perris Blvd, Perris, CA 92571-4709 | 2014-06-13 |
| 1417360611 | Riteaid | Pharmacist | 1688 N Perris Blvd, Perris, CA 92571-4709 | 2014-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376199422 | Pico De Loro, Incorporated | Assisted Living Facility | 620 North Perris Boulevard, Perris, CA 92571 | 2019-08-14 |
| 1053802579 | Kadiatou Dafney | Nurse Practitioner | 126 Avocado Ave Ste 106, Perris, CA 92571 | 2018-05-21 |
| 1730677014 | Ruth Gasselle Rodriguez | Nutritionist | 1020 Huntington Way, Perris, CA 92571 | 2018-04-23 |
| 1649788167 | Leslie Bautista | Counselor | 1276 Autumnwood Ln, Perris, CA 92571 | 2018-01-18 |
| 1588180459 | Eduardo Orozco-zavala | Licensed Vocational Nurse | 85 Ramona Expressway, Suite 1, Perris, CA 92571 | 2017-08-22 |
| 1396267365 | National Vision, Inc. | Technician/Technologist | 1850 N Perris Boulevard, Suite 40, Perris, CA 92571 | 2017-07-12 |
| 1336669506 | Gary Huang | Optometrist | 1850 N Perris Boulevard Ste 40, Perris, CA 92571 | 2017-06-20 |
| 1750814745 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 106 Worth St, Perris, CA 92571 | 2017-04-06 |
| 1013456235 | Sohal and Pham Dental Corporation | Dentist | 1820 Perris Blvd, Suite 70, Perris, CA 92571 | 2017-02-21 |
| 1093267569 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 2464 Slew of Gold Ct, Perris, CA 92571 | 2016-10-31 |
| Find all providers in zip 92571 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114117603 | Monica Teresa Peterson Gordon | Psychiatry & Neurology | 1688 N. Perris Blvd. Ste. L2-l11, Perris Mental Health Clinic, Perris, CA 92571 | 2007-07-31 |
| 1659412666 | Naresh Govindbhai Patel | Psychiatry & Neurology | 201 Redlands Ave, Perris, CA 92571-2600 | 2007-02-11 |
| 1881836211 | Joseph Fujun Liu | Psychiatry & Neurology | 1688 N Perris Blvd, Ste. L6-l11, Perris, CA 92571-4709 | 2009-03-31 |
| 1700911047 | Francisco Fidencio Morales Sr. | Psychiatry & Neurology | 1688 N Perris Blvd, Suite L-7-11, Perris, CA 92571-4709 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.