Scott Jeffrey Rose, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G039729 Issued in CA

Practice address

1688 N Perris Blvd
Suite L6-11
Perris, CA 92571-4709

Phone

(951) 443-2200

Fax

(951) 443-2230

NPI assigned

Mar 7, 2008

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Riverside County Mental Health Dept.

  • Mental Health Counselor
  • Perris, CA
  • NPI 1700328929
  NPD (past)
• Riverside Unversity Behavioral Health

  • Adult Mental Health Clinic/Center
  • Perris, CA
  • NPI 1013424522
  NPD (past)

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1043480858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 KEANA CT",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285355",
            "telephone_number": "916-966-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 N PERRIS BLVD",
            "address_2": "SUITE L6-11",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714709",
            "telephone_number": "951-443-2200",
            "fax_number": "951-443-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "SCOTT",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "G039729",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G039729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romana'S Inc
• Douglas F Romero Ordonez
• Adriana Romero Stivers
• Anthony Jesus Romero
• Mariah Kri'Shanda Rose
• Rosemary Children'S Services
• Roswitha Breuer a Professional Medical Corporation
• Roswitha Breuer MD
• Allyza Rae Beltran Roxas
• Maria Violetta Ruelas

• Psychiatry Physician in Perris, CA
• Providers in Perris, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.