Organization Active NPI

Roseline Dauphin Baptiste MD Inc

  • Obstetrics & Gynecology Physician
  • Burbank, CA
National Provider Identifier
1174688774
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G55469 Issued in CA
Legal business name
ROSELINE DAUPHIN BAPTISTE MD INC
Practice address
2625 W Alameda Ave Ste 424
Burbank, CA 91505-4818
Phone
(877) 282-3364
Fax
(877) 297-4486
NPI assigned
Dec 26, 2006
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Dr. Roseline M Dauphin Baptiste, MDNPI 1053593657
Title
Physician /President
Phone
(877) 282-3364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X G55469 CA
Primary Care Clinic/Center 261QP2300X G55469 CA
Obstetrics & Gynecology Physician 207V00000X G55469 CA Primary

Addresses

Primary practice location

2625 W Alameda Ave Ste 424
Burbank, CA 91505-4818

Mailing address

254 N Lake Ave Ste 235
Pasadena, CA 91101-1829
Phone (877) 282-3364

Other identifiers 2

IdentifierTypeStateIssuer
W21887OtherCAPTAN
00G554690MedicaidCA

Other names 1

  • Roseline Dauphin Baptiste MD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080318000511 CA Part B Supplier - Clinic/Group Practice 2062598980 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA; Sherman Oaks, CA

National Provider Directory

National Provider Directory

Locations

706 W Broadway
Ste 201
Glendale, CA 91204
Phone (626) 814-1177

254 N Lake Ave
Pasadena, CA 91101
Phone (213) 224-1076

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1174688774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 N LAKE AVE STE 235",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011829",
            "telephone_number": "877-282-3364",
            "fax_number": "877-297-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE STE 424",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054818",
            "telephone_number": "877-282-3364",
            "fax_number": "877-297-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELINE DAUPHIN BAPTISTE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "DAUPHIN BAPTISTE",
        "authorized_official_first_name": "ROSELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN /PRESIDENT",
        "authorized_official_telephone_number": "877-282-3364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G55469",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G55469",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G55469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W21887",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G554690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roseline Dauphin Baptiste MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.