Rozita Pouroushasb, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A133959 Issued in CA

Practice address

17742 Beach Blvd
Suite 360
Huntington Beach, CA 92647-6854

Phone

(714) 848-0868

Fax

(714) 848-2248

NPI assigned

Dec 24, 2011

Last updated

Dec 14, 2016By the provider in NPPES

Sex

Female

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

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Rees Stephens, Inc

  • Pediatrics Physician
  • Huntington Beach, CA
  • NPI 1780777474
  NPD (past)

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

{
    "created_epoch": "1324684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1053680736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD",
            "address_2": "SUITE 360",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476854",
            "telephone_number": "714-848-0868",
            "fax_number": "714-848-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD",
            "address_2": "SUITE 360",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476854",
            "telephone_number": "714-848-0868",
            "fax_number": "714-848-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUROUSHASB",
        "first_name": "ROZITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-24",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A133959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Poblete Potente, PHARMD
• Gehan JM Potrous, RPH
• Breanna Potter
• Debra Lynn Poulalion, M.F.T.
• Megan Poulsen
• Joseph S Powell, OD
• Mia Ellen Powell, R.N.F.A.
• Thomas Raymond Power, D.C.
• Joseph Thomas Powers, PPSC, PPSSW, CWA
• Thomas Shelton Powers, M.D.

• Pediatrics Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.