Shavar Ross

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

31946 Mission TRL Ste B
Lake Elsinore, CA 92530-4539

Phone

(951) 471-4300

NPI assigned

Nov 6, 2024

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1033932025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40321 SALEM WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925917530",
            "telephone_number": "818-632-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31946 MISSION TRL STE B",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304539",
            "telephone_number": "951-471-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SHAVAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Monique Romero
• Alexandra Elisabeth Ronan
• Melody Ronan
• Allen Tristan Rosario
• Walter E Rosenkranz, D.M.D.
• Gholam H Rouzitalab, RPH
• Lila Rouzitalab, RPH
• Rowi Rancho Cucamonga LLC (ROWI Lake Elsinore)
• Joseph Royal, SUD
• Randy L.Ee Rozar, MFTI

• Case Manager/Care Coordinator in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.