Rosalind G. Pallivathucal MD Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A43918 Issued in CA

Legal business name

ROSALIND G. PALLIVATHUCAL MD INC.

Doing business as

Clinica Maria Medical Center

Practice address

8100 California Ave
Suite K
South Gate, CA 90280-2469

Phone

(323) 357-1000

Fax

(323) 357-1001

NPI assigned

Feb 22, 2007

Last updated

Jul 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rosalind George Pallivathucal, M.D.NPI 1437311131

Title

Medical Director

Phone

(323) 357-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clinica Maria Medical Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosalind Geroge Pallivathucal, MD

  • Family Medicine Physician
  • South Gate, CA
  • NPI 1437311131
  Authorized official Same address or phone

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1033244611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 CALIFORNIA AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802469",
            "telephone_number": "323-357-1000",
            "fax_number": "323-357-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 CALIFORNIA AVE",
            "address_2": "SUITE K",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802469",
            "telephone_number": "323-357-1000",
            "fax_number": "323-357-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSALIND G. PALLIVATHUCAL MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "PALLIVATHUCAL",
        "authorized_official_first_name": "ROSALIND",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-357-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A43918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A43918",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Maria Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gustavo Mario Roldan, PAC
• Dmitriy Romanenko, M.D.,
• Matthew Alexander Romero
• Ronald H Peltz DPM
• Michelle Rosales
• Nathan Andrew Ruiz
• Valerie Ruiz
• Chloe Russell
• RX Consultants Group Inc (Mercy South Gate Pharmacy)
• Rokaya Saad, DDS

• Family Medicine Physician in South Gate, CA
• Providers in South Gate, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.