Rosen Internal Medicine a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROSEN INTERNAL MEDICINE A PROFESSIONAL CORPORATION

Doing business as

Rosen Personalized Medicine

Practice address

400 Taylor Blvd Ste 304
Pleasant Hill, CA 94523-2160

Phone

(925) 363-0069

Fax

(925) 363-0077

NPI assigned

Jul 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Rosen, MDNPI 1386887974

Title

Founder

Phone

(925) 378-2007

Specialties & licenses 1

Addresses

Other names 1

• Rosen Personalized Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Shawn D Rosen, M.D.

  • Internal Medicine Physician
  • Pleasant Hill, CA
  • NPI 1386887974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1073292157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TAYLOR BLVD STE 304",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232160",
            "telephone_number": "925-378-2007",
            "fax_number": "925-363-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR BLVD STE 304",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232160",
            "telephone_number": "925-363-0069",
            "fax_number": "925-363-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEN INTERNAL MEDICINE A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "925-378-2007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosen Personalized Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Podmore Rogers, D.D.S.
• Amber Romano, DC
• Mary Cruz Romo
• Doug Ronning, M.F.T., R.D.T.
• Rose Joy Endonila DDS,Professional Dental Corporation (Rose Joy Endonila,DDS)
• Shawn D Rosen, M.D.
• Juan F Rosero Tapia
• Glenn D. Rosner, CMT
• Adreana Faye Rotenberry
• RSCR California, Inc. (ResCare California Nightingale)

• Internal Medicine Physician in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.