Active NPI
Rosalie E Espinosa, M.D.
- Clinic/Center
- Corona, CA
National Provider Identifier
1265451801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- C51359
- Practice address
- 900 S Main St Ste 108
Corona, CA 92882-3401 - Phone
- (951) 734-5450
- Fax
- (951) 734-6009
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | C51359 | CA | Primary |
Addresses
Primary practice location
900 S Main St Ste 108
Corona, CA 92882-3401
Mailing address
3459 Whirlaway LN
Chino Hills, CA 91709-2583
Phone (951) 640-4500
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 |
|---|---|---|---|
| 51359 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| C51359 | CA | MD | Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Clinic/Center | Current | Accepting new patients |
Locations
308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700
7140 Indiana Ave
Riverside, CA 92504
Phone (909) 358-6035
Interoperability endpoints
- respinosa96845@direct.llu.edu
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 and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1952496010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1265451801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3459 WHIRLAWAY LN",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917092583",
"telephone_number": "951-640-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S MAIN ST STE 108",
"city": "CORONA",
"state": "CA",
"postal_code": "928823401",
"telephone_number": "951-734-5450",
"fax_number": "951-734-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOSA",
"first_name": "ROSALIE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "C51359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.