Organization Active NPI

Rose Clinic a Profesional Medical Corp

  • Diagnostic Neuroimaging (Radiology) Physician
  • Solana Beach, CA
National Provider Identifier
1033326541
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
License
G85456 Issued in CA
Legal business name
ROSE CLINIC A PROFESIONAL MEDICAL CORP
Practice address
530 Lomas Santa Fe Dr
B-1
Solana Beach, CA 92075-1349
Phone
(858) 755-8955
Fax
(858) 755-8959
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Jeanne Stryker, MDNPI 1144251596
Title
Ceo
Phone
(858) 755-8955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085D0003X G85456 CA Primary

Addresses

Primary practice location

530 Lomas Santa Fe Dr
B-1
Solana Beach, CA 92075-1349

Mailing address

530 Lomas Santa Fe Dr
B-1
Solana Beach, CA 92075-1349
Phone (858) 755-8955

National Provider Directory

National Provider Directory

Locations

530 Lomas Santa Fe Dr
Ste B1
Solana Beach, CA 92075
Phone (858) 755-8955

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1033326541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LOMAS SANTA FE DR",
            "address_2": "B-1",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751349",
            "telephone_number": "858-755-8955",
            "fax_number": "858-755-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LOMAS SANTA FE DR",
            "address_2": "B-1",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751349",
            "telephone_number": "858-755-8955",
            "fax_number": "858-755-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CLINIC A PROFESIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "STRYKER",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-755-8955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "CA",
            "license": "G85456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.