Frederick S Rosen, MD

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

License

A84955 Issued in CA

Practice address

1181 Central Blvd Ste B
Brentwood, CA 94513-2252

Phone

(925) 463-0336

Fax

(925) 463-1387

NPI assigned

Oct 13, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Preventive MedicineAlso: Otolaryngology

Education

University of Southern California Keck School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of San Luis ObispoGroup PAC ID 9032020094, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• County of San Luis Obispo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paso Robles, CA
  • NPI 1134287634
  Medicare reassignment Care Compare group NPD
• County of San Luis Obispo

  • Public Health & General Preventive Medicine Physician
  • San Luis Obispo, CA
  • NPI 1518064948
  NPD
• County of San Luis Obispo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arroyo Grande, CA
  • NPI 1932563053
  NPD
• County of San Luis Obispo Drug and Alcohol Services

  • Marriage & Family Therapist
  • San Luis Obispo, CA
  • NPI 1013115468
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1063502839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6177",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016977",
            "telephone_number": "925-463-0336",
            "fax_number": "925-463-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 CENTRAL BLVD STE B",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132252",
            "telephone_number": "925-463-0336",
            "fax_number": "925-463-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "FREDERICK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A84955",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "CA",
            "license": "A84955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A84955",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GR",
            "identifier": "ZZZ21406Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gea Gabrielle Serafica Rosales, PT
• Paige Rosano, MS, CCC-SLP
• Elena Lucille Rosas
• Steven J Roscoe
• Laniesha Juanita Marianna Rose
• Melissa Ross
• Laura Ruano-Garcia, LMFT
• Adrian Joshua Ruano
• Kiara Rubin
• Imani Latisha Jean Rucks

• Pediatric Otolaryngology Physician in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Pediatric Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.