Organization Active NPI

Rocket Physician Assistant Corp

  • Surgical Physician Assistant
  • Dublin, CA
National Provider Identifier
1083973994
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA 22186 Issued in CA
Legal business name
ROCKET PHYSICIAN ASSISTANT CORP
Practice address
4351 Foxford Way
Dublin, CA 94568-7819
Phone
(415) 580-7975
Fax
(415) 520-2021
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Rhiarose M Magbitang, MMS, PA-C
Title
Owner
Phone
(858) 361-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA 22186 CA Primary

Addresses

Primary practice location

4351 Foxford Way
Dublin, CA 94568-7819

Mailing address

3819 Divisadero St
#2
San Francisco, CA 94123-1079
Phone (415) 580-7975

National Provider Directory

National Provider Directory

Locations

1849 Bayshore Hwy
Ste 300
Burlingame, CA 94010
Phone (650) 539-6000

728 Pacific Ave
Ste 701
San Francisco, CA 94133
Phone (415) 346-1114

3000 California St
San Francisco, CA 94115
Phone (415) 292-9528

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1083973994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 DIVISADERO ST",
            "address_2": "#2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941231079",
            "telephone_number": "415-580-7975",
            "fax_number": "415-520-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 FOXFORD WAY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687819",
            "telephone_number": "415-580-7975",
            "fax_number": "415-520-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKET PHYSICIAN ASSISTANT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "MAGBITANG",
        "authorized_official_first_name": "RHIAROSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-361-1441",
        "authorized_official_credential": "MMS, PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA 22186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.