NPIMap

Organization Active NPI

Rosaasen Physical Medicine Inc.

Doing business as Superior Physical Medicine

  • Non-Pharmacy Dispensing Site
  • Simi Valley, CA
National Provider Identifier
1033481668
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ROSAASEN PHYSICAL MEDICINE INC.
Doing business as
Superior Physical Medicine
Practice address
2780 Tapo Canyon Rd
Suite a-3
Simi Valley, CA 93063-6840
Phone
(805) 520-2929
NPI assigned
Jan 27, 2012
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ROSAASEN PHYSICAL MEDICINE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Jonathan Rosaasen, M.D.NPI 1528171352
Title
Medical Director
Phone
(805) 520-2929

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
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

2780 Tapo Canyon Rd
Suite a-3
Simi Valley, CA 93063-6840

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Other names 1

  • Superior Physical Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
Rosaasen Physical Medicine Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1033481668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 TAPO CANYON RD",
            "address_2": "SUITE A-3",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930636840",
            "telephone_number": "805-520-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSAASEN PHYSICAL MEDICINE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSAASEN PHYSICAL MEDICINE INC.",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "ROSAASEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-520-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.