ROSE MEDICAL GROUP (NPI# 1720189061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720189061 |
| Entity Type | Organization |
| Organization Name | ROSE MEDICAL GROUP |
| Practice Address |
2400 N Broadway Los Angeles CA 90031-2219 |
| Mailing Address |
Po Box 31250 Los Angeles CA 90031-0250 |
| Practice Telephone | 3232216121 |
| Practice Fax Number | 3232216120 |
| Mailing Telephone | 3232216121 |
| Mailing Fax Number | 3232216120 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | DR. MICHAEL R. ROSE (PRESIDENT) |
| Authorized Official Telephone | 3232216121 |
| Authorized Official Credential | G33914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0014310 | 05 |
| Street Address |
2400 N BROADWAY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90031-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588099097 | Trilogy Eye Medical Group, Inc | Optometrist | 2400 N Broadway, Los Angeles, CA 90031-2219 | 2013-09-04 |
| 1861593006 | Michael R Rose | Ophthalmology | 2400 N Broadway, Los Angeles, CA 90031-2219 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247031 | James Han | Counselor | 2010 Lincoln Park Ave., Los Angeles, CA 90031 | 2017-07-12 |
| 1457712200 | Arturo Ibarra D.d.s. Inc | Dentist | 2407 North Broadway, Los Angeles, CA 90031 | 2016-03-08 |
| 1083081780 | Blair Evans James | Social Worker | 434 E Avenue 28 Ste 106, Los Angeles, CA 90031 | 2015-08-28 |
| 1538578133 | Si Xu | Acupuncturist | 2415 Pasadena Ave, Los Angeles, CA 90031 | 2014-08-07 |
| 1346583309 | Arlene Mary Juarez | Counselor | 2309 Daly Street, Masa Youth Center, Los Angeles, CA 90031 | 2013-03-28 |
| 1770858250 | Rama Paliwal | Pediatrics | 1025 Daly St, Jchs, Los Angeles, CA 90031 | 2012-03-15 |
| 1033482476 | Eloisa Padilla | Social Worker | 2309 Daly St ., Los Angeles, CA 90031 | 2012-02-15 |
| 1851601975 | Edmond Hwan Kim | Acupuncturist | 330 W. Avenue 26, #328, Los Angeles, CA 90031 | 2010-10-08 |
| 1629209382 | Dante Almendral Md, A Medical Corporation | Ophthalmology | 2425 North Broadway St., Los Angeles, CA 90031 | 2009-07-29 |
| 1003044090 | Sindy K. Ramos | Counselor | 1721 Griffin Ave., Los Angeles, CA 90031 | 2009-06-29 |
| Find all providers in zip 90031 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790972693 | Ocular Surgery Medical Associates | Technician/Technologist | 1245 Wilshire Blvd Ste 801, Los Angeles, CA 90017-4808 | 2007-09-25 |
| 1649224049 | More Vision Eye Care A Medical Corporation | Technician/Technologist | 5181 Hollywood Blvd, Los Angeles, CA 90027-6113 | 2006-05-20 |
| 1588852511 | Eye Surgical Medical Group, Inc | Technician/Technologist | 1211 N Vermont Ave, 200, Los Angeles, CA 90029-1748 | 2007-10-03 |
| 1174650048 | Denis N Thompson | Technician/Technologist | 1245 Wilshire Blvd, Suite 801, Los Angeles, CA 90017-4810 | 2007-02-27 |
| 1083667190 | Richard Michal Teller | Technician/Technologist | 5181 Hollywood Blvd, Los Angeles, CA 90027-6113 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245718691 | Artansia Washington | Technician/Technologist | 535 W Flora St Apt 1, Stockton, CA 95203-2433 | 2018-07-29 |
| 1679696124 | Eyes of Bay | Technician/Technologist | 1005 El Camino Real, Redwood City, CA 94063-1692 | 2007-04-09 |
| 1679609234 | Hoang Duy Nguyen | Technician/Technologist | 9371 Kramer Ave, Ste. F, Westminster, CA 92683-5938 | 2007-02-26 |
| 1598832909 | Fullerton Eye Medical Center | Technician/Technologist | 1321 N Harbor Blvd Ste 300, Fullerton, CA 92835-4131 | 2006-11-29 |
| 1013083518 | Margaret T Taw | Technician/Technologist | 3356 W. Ball Rd. Ste. #206, Anaheim, CA 92804 | 2006-11-27 |
| 1588678841 | Edgar A Lucidi | Technician/Technologist | 328 Hazel Drive, Corona Del Mar, CA 92625-3031 | 2006-07-29 |
| 1023030301 | Robert Arthur Yohai | Technician/Technologist | 864 2nd St, Santa Rosa, CA 95404-4610 | 2006-07-24 |
| 1255351755 | Gregory Clifton Tesluk | Technician/Technologist | 400 E Orangeburg Ave Ste 2, Modesto, CA 95350-5365 | 2006-07-20 |
| 1144248881 | J. Dennis Steen | Technician/Technologist | 1825 Main St, Susanville, CA 96130-4518 | 2006-07-18 |
| 1407891393 | Carole Ann Casteen | Technician/Technologist | 1026 Calloway Dr, Suite 200, Bakersfield, CA 93312-6337 | 2006-06-17 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90031 |
Please comment or provide details below to improve the information on ROSE MEDICAL GROUP.
| 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.