Roshny Pattathu MD Professional Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ROSHNY PATTATHU MD PROFESSIONAL CORPORATION

Practice address

999 N Tustin Ave Ste 109
Santa Ana, CA 92705-6501

Phone

(714) 775-7700

Fax

(714) 464-2222

NPI assigned

May 17, 2018

Organization subpart

No

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

Authorized official

Name

Roshny Pattathu, MDNPI 1154568350

Title

President

Phone

(949) 425-8735

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Roshny Antony Pattathu, M.D.

  • Hospitalist Physician
  • Irvine, CA
  • NPI 1154568350
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1043700776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MOMENTO",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926034239",
            "telephone_number": "949-425-8735",
            "fax_number": "714-464-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE STE 109",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056501",
            "telephone_number": "714-775-7700",
            "fax_number": "714-464-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSHNY PATTATHU MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "PATTATHU",
        "authorized_official_first_name": "ROSHNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-425-8735",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Negrete Rosen, MS, CCC-SLP
• Lindsey Rosen
• Sandra S Rosen, LCSW
• Paul Rosenblum
• James Daniel Roser, CPT1
• Karina None Rosiles, NONE
• Constance Joan Rosplock, R.N., P.H.N.
• Alan B Ross, MD
• Alexandra Ross, SLP-CCC
• Angelica Maria Ross, PA-C

• Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.