Active NPI
Marina J Rose, D.C.
- Chiropractor
- Los Altos, CA
National Provider Identifier
1083784052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 23044
- Practice address
- 949 Sherwood Ave Ste 100
Los Altos, CA 94022-1334 - Phone
- (650) 949-3636
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Chiropractor | 111N00000X | 23044 | CA | Primary |
Addresses
Primary practice location
949 Sherwood Ave Ste 100
Los Altos, CA 94022-1334
Mailing address
90 E Tasman Dr
San Jose, CA 95134-1617
Phone (408) 944-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23044 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1083784052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 E TASMAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951341617",
"telephone_number": "408-944-6100",
"fax_number": "408-944-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 SHERWOOD AVE STE 100",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221334",
"telephone_number": "650-949-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "MARINA",
"middle_name": "J",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "23044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.