Organization Active NPI

Randy Rosen, M.D., a Prof. Corp.

  • Pain Medicine (Anesthesiology) Physician
  • Beverly Hills, CA
National Provider Identifier
1366526618
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G82218 Issued in CA
Legal business name
RANDY ROSEN, M.D., A PROF. CORP.
Practice address
120 S Spalding Dr
Ste. 301
Beverly Hills, CA 90212-1800
Phone
(310) 385-7755
NPI assigned
Oct 24, 2006
Last updated
Aug 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Dr. Randy Rosen, M.D.NPI 1538291232
Title
President
Phone
(310) 440-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X G82218 CA Primary

Addresses

Primary practice location

120 S Spalding Dr
Ste. 301
Beverly Hills, CA 90212-1800

Mailing address

11999 San Vicente Blvd
Ste. 440
Los Angeles, CA 90049-5131
Phone (310) 440-3131

Other identifiers 1

IdentifierTypeStateIssuer
00G822180MedicaidCA

National Provider Directory

National Provider Directory

Locations

8585 Knott Ave
Ste 101
Buena Park, CA 90620
Phone (714) 739-0393

412 W Avenue J
Ste F
Lancaster, CA 93534
Phone (818) 885-1600

6553 E Pacific Coast Hwy
#H9
Long Beach, CA 90803
Phone (562) 596-8700

9036 Reseda Blvd
Ste 204
Northridge, CA 91324
Phone (818) 472-6009

1431 Warner Ave
Ste B
Tustin, CA 92780

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1366526618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD",
            "address_2": "STE. 440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495131",
            "telephone_number": "310-440-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR",
            "address_2": "STE. 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121800",
            "telephone_number": "310-385-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY ROSEN, M.D., A PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-440-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G82218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G822180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.