Active NPI
Rosanna Wadie Iskander, M.D.
- Family Medicine Physician
- San Dimas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A40133
- Practice address
- 1330 W Covina Blvd Ste 102
San Dimas, CA 91773-3200 - Phone
- (909) 592-3323
- Fax
- (877) 992-6240
- NPI assigned
- Dec 1, 2006
- Last updated
- Jul 12, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A40133 | CA | Primary |
Addresses
Primary practice location
1330 W Covina Blvd Ste 102
San Dimas, CA 91773-3200
Mailing address
1330 W Covina Blvd Ste 102
San Dimas, CA 91773-3200
Phone (909) 592-3323
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1330 W Covina Blvd
San Dimas, CA 91773-3200
Phone (909) 592-3323
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A40133 | CA | MD | Family Medicine Physician |
| 40133 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosanna W Iskander M D Inc | Family Medicine | Current | Accepting new patients |
| St Jude Hospital Inc | Past | Accepting new patients | |
| Armen Nercessian DO Inc | Past | Accepting new patients | |
| Azusa Way Family Medical Clinic | Family Medicine | Past | Accepting new patients |
| San Dimas Community Hospital, Inc. | Past | Accepting new patients | |
| Gold Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
Locations
5920 Atlantic Blvd
Maywood, CA 90270
Phone (323) 562-2535
1330 W Covina Blvd
Ste 102
San Dimas, CA 91773
Phone (909) 592-3323
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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.
-
- Family Medicine Physician
- San Dimas, CA
- NPI 1386721959
-
- General Practice Physician
- Pasadena, CA
- NPI 1417496332
-
- Family Medicine Physician
- La Puente, CA
- NPI 1508055922
-
dba San Dimas Community Hospital
- Skilled Nursing Facility
- San Dimas, CA
- NPI 1568487619
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- La Crescenta, CA
- NPI 1154903557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1265500896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 W COVINA BLVD STE 102",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917733200",
"telephone_number": "909-592-3323",
"fax_number": "877-992-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 W COVINA BLVD STE 102",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917733200",
"telephone_number": "909-592-3323",
"fax_number": "877-992-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISKANDER",
"first_name": "ROSANNA",
"middle_name": "WADIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A40133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.
- 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.