Organization Active NPI

Gilbert Rosales,M.D.,Inc.

  • Primary Care Clinic/Center
  • Pacoima, CA
National Provider Identifier
1194914234
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A53868 Issued in CA
Legal business name
GILBERT ROSALES,M.D.,INC.
Practice address
13711 Van Nuys Blvd Suite 1
Pacoima, CA 91331-3056
Phone
(818) 897-2164
Fax
(818) 890-9614
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Gilbert Rosales, M.D.NPI 1972529345
Title
Ceo
Phone
(818) 897-2164

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A53868 CA Primary

Addresses

Primary practice location

13711 Van Nuys Blvd Suite 1
Pacoima, CA 91331-3056

Mailing address

13711 Van Nuys Blvd Suite 1
Pacoima, CA 91331-3056
Phone (818) 897-2164

National Provider Directory

National Provider Directory

Locations

13711 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 206-8217

13333 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 897-2164

Practitioners & affiliated clinicians

Practitioners 1

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": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1194914234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13711 VAN NUYS BLVD SUITE 1",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313056",
            "telephone_number": "818-897-2164",
            "fax_number": "818-890-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13711 VAN NUYS BLVD SUITE 1",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313056",
            "telephone_number": "818-897-2164",
            "fax_number": "818-890-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT ROSALES,M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-897-2164",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A53868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacoima, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.