Active NPI
Edward H Rowsell, M.D.
- Hematology (Pathology) Physician
- Loma Linda, CA
National Provider Identifier
1275553729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Pathology) Physician
- License
- G85783
- Practice address
- 11370 Anderson St
Ste 2960
Loma Linda, CA 92354-3450 - Phone
- (909) 558-5175
- NPI assigned
- Jul 20, 2006
- Last updated
- Dec 12, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | G85783 | CA | |
| Hematology (Pathology) Physician | 207ZH0000X | G85783 | CA | Primary |
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | G85783 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G85783 | CA |
Addresses
Primary practice location
11370 Anderson St
Ste 2960
Loma Linda, CA 92354-3450
Mailing address
PO Box 1740
Loma Linda, CA 92354-0240
Phone (909) 558-5175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G857830 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G85783 | CA | MD | Hematology (Pathology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1275553729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1740",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923540240",
"telephone_number": "909-558-5175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11370 ANDERSON ST",
"address_2": "STE 2960",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543450",
"telephone_number": "909-558-5175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWSELL",
"first_name": "EDWARD",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "CA",
"license": "G85783",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "CA",
"license": "G85783",
"primary": true
},
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "CA",
"license": "G85783",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G85783",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G857830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.