Individual provider Active NPI

Molly Good Rossknecht, D.O.

  • Neurology Physician
  • Irvine, CA
National Provider Identifier
1205149309
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2OA14767 Issued in CA
Practice address
33 Creek Rd Ste 340
Irvine, CA 92604-7705
Phone
(949) 861-8717
Fax
(949) 861-8719
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5101018937 MI
Neurology Physician 2084N0400X 2OA14767 CA Primary

Addresses

Primary practice location

33 Creek Rd Ste 340
Irvine, CA 92604-7705

Mailing address

33 Creek Rd Ste 340
Irvine, CA 92604-7705
Phone (949) 861-8717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Sep 8, 2016 through Sep 8, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2OA14767CAMDNeurology Physician
5101018937MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Migraine & Headache Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEHBDD/Endpoint/FEHBDD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1205149309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CREEK RD STE 340",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047705",
            "telephone_number": "949-861-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CREEK RD STE 340",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047705",
            "telephone_number": "949-861-8717",
            "fax_number": "949-861-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSKNECHT",
        "first_name": "MOLLY",
        "middle_name": "GOOD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101018937",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "2OA14767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.