Active NPI
Erin Roos
- Physical Therapist
- San Diego, CA
National Provider Identifier
1295191211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 43450
- Practice address
- 12250 El Camino Real
190
San Diego, CA 92130 - Phone
- (858) 793-1460
- NPI assigned
- Jan 6, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 43450 | CA | Primary |
Addresses
Primary practice location
12250 El Camino Real
190
San Diego, CA 92130
Mailing address
325 Maple St
San Diego, CA 92103-6535
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43450 | CA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1295191211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MAPLE ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921036535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12250 EL CAMINO REAL",
"address_2": "190",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92130",
"telephone_number": "858-793-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOS",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-06",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "43450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.