Active NPI
Adam Todd Rosa, OD
- Optometrist
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34093LTG
- Practice address
- 3915 Mission Ave
Ste 2
Oceanside, CA 92058-7801 - Phone
- (760) 757-8771
- Fax
- (760) 757-3073
- NPI assigned
- Aug 10, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34093LTG | CA | Primary |
Addresses
Primary practice location
3915 Mission Ave
Ste 2
Oceanside, CA 92058-7801
Mailing address
9591 Graham St Apt 28
Cypress, CA 90630-3836
Phone (831) 676-7003
Other practice location 1
10800 N Port Washington Rd
Mequon, WI 53092-5007
Phone (262) 241-4848
Other practice location 2
120 Martin Dr
Fredonia, WI 53021-9455
Phone (262) 692-9000
Other practice location 3
8693 N Port Washington Rd
Fox Point, WI 53217-2209
Phone (414) 351-2020
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: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3915 Mission Ave
Suite 2
Oceanside, CA 92058-7801
Phone (760) 757-8771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34093 | CA | MD | Health Psychologist |
| 34093LTG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam Rosa OD Inc | Optometrist | Current | Accepting new patients |
| North Coast Optometry | Optometrist | Past | Accepting new patients |
Locations
711 Grand Ave
Ste 2
Carlsbad, CA 92008
Phone (760) 729-4327
Organizations & group practices 3
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.
-
- Optometrist
- Oceanside, CA
- NPI 1992450027
-
- Optometrist
- Compton, CA
- NPI 1811969884
-
- Optometrist
- Oceanside, CA
- NPI 1518134246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1295250264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9591 GRAHAM ST APT 28",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303836",
"telephone_number": "831-676-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 MISSION AVE",
"address_2": "STE 2",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920587801",
"telephone_number": "760-757-8771",
"fax_number": "760-757-3073"
}
],
"practiceLocations": [
{
"address_1": "10800 N Port Washington Rd",
"address_purpose": "LOCATION",
"city": "Mequon",
"state": "WI",
"postal_code": "530925007",
"country_code": "US",
"telephone_number": "262-241-4848",
"fax_number": "262-241-9865",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Martin Dr",
"address_purpose": "LOCATION",
"city": "Fredonia",
"state": "WI",
"postal_code": "530219455",
"country_code": "US",
"telephone_number": "262-692-9000",
"fax_number": "262-692-2797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8693 N Port Washington Rd",
"address_purpose": "LOCATION",
"city": "Fox Point",
"state": "WI",
"postal_code": "532172209",
"country_code": "US",
"telephone_number": "414-351-2020",
"fax_number": "414-351-2031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSA",
"first_name": "ADAM",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-10",
"last_updated": "2022-07-21",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34093LTG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.