Organization Active NPI

Moorpark Family Medicine Inc

  • Family Medicine Physician
  • Moorpark, CA
National Provider Identifier
1295904936
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOORPARK FAMILY MEDICINE INC
Practice address
301 Science Dr
Suite #190
Moorpark, CA 93021-2094
Phone
(805) 531-9400
Fax
(805) 531-9499
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jonathan Andrew Rosaasen, M.D.
Title
President
Phone
(909) 648-4004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

301 Science Dr
Suite #190
Moorpark, CA 93021-2094

Mailing address

301 Science Dr
Suite #190
Moorpark, CA 93021-2094
Phone (805) 531-9400

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1295904936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SCIENCE DR",
            "address_2": "SUITE #190",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212094",
            "telephone_number": "805-531-9400",
            "fax_number": "805-531-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SCIENCE DR",
            "address_2": "SUITE #190",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212094",
            "telephone_number": "805-531-9400",
            "fax_number": "805-531-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORPARK FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "ROSAASEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-648-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.