Anna Lissa Rosales, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5810 El Camino Real Ste a
Carlsbad, CA 92008-8819

Phone

(760) 929-8269

NPI assigned

Jan 22, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anna Lissa R Millett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: annalissa.rosales@3856.securemail.prognocis.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1003054511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 EL CAMINO REAL STE A",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088819",
            "telephone_number": "760-929-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 EL CAMINO REAL STE A",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088819",
            "telephone_number": "760-929-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "ANNA LISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "PA22269",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA LISSA",
            "last_name": "MILLETT",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Thaddeus Roncone, D.D.S.
• Sharon L. Yakel Roncone, D.D.S.
• Lesli Noel Root
• Emily Rorabaugh, FNP-C
• Heaven Leigh Rosa
• Yajaira Rosales
• Oscar Agustin Rosas
• Rose Medical Systems, Inc.
• William Rose, LVN
• Tania Rosello Dumont, M.A., L.M.F.T.

• Physician Assistant in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.