Gowri Reddy Rocco, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C52555 Issued in CA

Practice address

11705 Slate Ave Ste 200
Riverside, CA 92505-5199

Phone

(949) 375-0224

NPI assigned

Nov 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2020 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Inland Hospitalists Med GP

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1548254980
  NPD (past)
• Optimum Wellness and Longevity Inc

  • Family Medicine Physician
  • Corona, CA
  • NPI 1982983458
  NPD (past)
• Health Care Plus, PC

  • Rehabilitation Chiropractor
  • Wayne, NJ
  • NPI 1477627776
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1083894075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 ZURITA CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818809",
            "telephone_number": "951-808-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 SLATE AVE STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925055199",
            "telephone_number": "949-375-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCCO",
        "first_name": "GOWRI",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C52555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel Robles, LMFT
• Olga I Robles, AMFT
• Taylor Robles
• Vanessa Robles
• Shynnee Iquis Roby
• Daisy Lisbeth Rocha Rocha, BS
• Andrew Rocha
• Consuelo Rocha
• Crystal Rocha
• Evita Marie Rocha, M.D.

• Family Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.