Active NPI
Peter Jonathan Rogers, MD
- General Practice Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A47822
- Practice address
- 19900 Macarthur Blvd Ste 800
Irvine, CA 92612-8423 - Phone
- (877) 693-6266
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A47822 | CA | Primary |
Addresses
Primary practice location
19900 Macarthur Blvd Ste 800
Irvine, CA 92612-8423
Mailing address
530 Via Estrada Unit N
Laguna Woods, CA 92637-4033
Phone (949) 236-9533
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47822 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marque Medical Clinic, Inc. | Current | Accepting new patients | |
| Marque Medical Clinic, Inc | Current | Accepting new patients |
Locations
26831 Aliso Creek Rd
Ste 200
Aliso Viejo, CA 92656
Phone (949) 235-9375
9630 Sierra Ave
#100
Fontana, CA 92335
Phone (877) 693-6266
21770 LK FRST Dr
Ste 109
Lake Forest, CA 92630
Phone (877) 693-6266
2075 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (877) 693-6266
4490 Fanuel St
Ste 100
San Diego, CA 92109
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Marque Urgent Care, Inc.-Newport Beach
- Urgent Care Clinic/Center
- Newport Beach, CA
- NPI 1538466107
-
- Urgent Care Clinic/Center
- Chula Vista, CA
- NPI 1164303442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1225074545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 VIA ESTRADA UNIT N",
"city": "LAGUNA WOODS",
"state": "CA",
"postal_code": "926374033",
"telephone_number": "949-236-9533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19900 MACARTHUR BLVD STE 800",
"city": "IRVINE",
"state": "CA",
"postal_code": "926128423",
"telephone_number": "877-693-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "PETER",
"middle_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A47822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.