Organization Active NPI

Mark a Rosa

  • Eyewear Supplier
  • Riverside, CA
National Provider Identifier
1053645648
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
8575T Issued in CA
Legal business name
MARK A ROSA
Practice address
7710 Limonite Ave Ste 101
Riverside, CA 92509-5342
Phone
(951) 681-4125
Fax
(951) 361-4595
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Debi Nee
Title
Manager
Phone
(951) 681-4125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 8575T CA Primary

Addresses

Primary practice location

7710 Limonite Ave Ste 101
Riverside, CA 92509-5342

Mailing address

7710 Limonite Ave Ste 101
Riverside, CA 92509-5342
Phone (951) 681-4125

Other names 1

  • Mark Rosa OD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mark a Rosa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7710 Limonite Ave
Ste 101
Riverside, CA 92509
Phone (714) 768-0090

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1053645648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 LIMONITE AVE STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925095342",
            "telephone_number": "951-681-4125",
            "fax_number": "951-361-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 LIMONITE AVE STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925095342",
            "telephone_number": "951-681-4125",
            "fax_number": "951-361-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A ROSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "NEE",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-681-4125"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "8575T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Rosa OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.