Individual provider Active NPI

Frank John Rose, MD

  • Cardiovascular Disease Physician
  • Dana Point, CA
National Provider Identifier
1194889402
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
-A22514 Issued in CA
Practice address
24672 San Juan Ave
Suite 102
Dana Point, CA 92629-2845
Phone
(949) 499-1371
Fax
(949) 499-2521
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X -A22514 CA Primary

Addresses

Primary practice location

24672 San Juan Ave
Suite 102
Dana Point, CA 92629-2845

Mailing address

24672 San Juan Ave
Suite 102
Dana Point, CA 92629-2845
Phone (949) 499-1371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100215000620 CA Practitioner - Internal Medicine 7214071265 Practice locations: Dana Point, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Un of California, Irvine, College of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24672 San Juan Ave
Suite 102
Dana Point, CA 92629-2837
Phone (949) 499-1371

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.1 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
67.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
-A22514CAMDCardiovascular Disease Physician
22514CAMDPediatric Physical Therapist

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1194889402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24672 SAN JUAN AVE",
            "address_2": "SUITE 102",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292845",
            "telephone_number": "949-499-1371",
            "fax_number": "949-499-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24672 SAN JUAN AVE",
            "address_2": "SUITE 102",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292845",
            "telephone_number": "949-499-1371",
            "fax_number": "949-499-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "FRANK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "-A22514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

Verify at the official NPI Registry.