Monterey Peninsula Pediatric Medical Group, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G023932 Issued in CA

Legal business name

MONTEREY PENINSULA PEDIATRIC MEDICAL GROUP, INC

Practice address

2 Upper Ragsdale Dr
Monterey, CA 93940-5736

Phone

(831) 333-0999

Fax

(831) 333-0909

NPI assigned

Sep 26, 2006

Last updated

Aug 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alan H Rosen, M.D.

Title

Partner

Phone

(831) 333-0999

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Jill Johnson Airola, MD

  • Pediatrics Physician
  • Monterey, CA
  • NPI 1023192846
  NPD (past)
• Andrew Parker Chamberlin, M.D.

  • Pediatrics Physician
  • Monterey, CA
  • NPI 1285077511
  NPD (past)
• Leslie S Galloway, M.D.

  • Pediatrics Physician
  • Salinas, CA
  • NPI 1851497291
  NPD (past)
• Valerie Josephson, M.D.

  • Pediatrics Physician
  • Monterey, CA
  • NPI 1699797027
  NPD (past)
• Jesse Curtis Pack, M.D.

  • Pediatrics Physician
  • Monterey, CA
  • NPI 1699095141
  NPD (past)
• Sophy Prak, CPNP

  • Pediatric Nurse Practitioner
  • Monterey, CA
  • NPI 1699122895
  NPD (past)
• Annalisa Sergent, CPNP

  • Pediatric Nurse Practitioner
  • Monterey, CA
  • NPI 1699438515

  Pediatrics

  NPD (past)
• Blake Bischoff, MD

  • Student in an Organized Health Care Education/Training Program
  • Marshfield, WI
  • NPI 1073286985
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1235230624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405736",
            "telephone_number": "831-333-0999",
            "fax_number": "831-333-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405736",
            "telephone_number": "831-333-0999",
            "fax_number": "831-333-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY PENINSULA PEDIATRIC MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "831-333-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G023932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOC325750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monterey Peninsula Dialysis, LLC (U.S. Renal Care Monterey Dialysis)
• Monterey Peninsula Endodontics
• Monterey Peninsula General Dental Group (Monterey Peninsula Dental Group)
• Monterey Peninsula Nephrology
• Monterey Peninsula Orthopaedic and Sports Medicine Institute (UrgencyMED)
• Monterey Peninsula Physical Therapy
• Monterey Peninsula Radiology Group, Inc.
• Monterey Peninsula Surgery Center LLC
• Monterey Peninsula Surgery Center LLC
• Monterey Peninsula Surgery Center LLC (Monterey Peninsula Surgery Center Munras)

• Pediatrics Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.