Angela Ivy Rosen, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

10848 Issued in CA

Practice address

1911 Addison St
Suite 201
Berkeley, CA 94704-1267

Phone

(510) 517-6858

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331942400000",
    "number": "1467524462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 HANNA WAY",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253581",
            "telephone_number": "510-517-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 ADDISON ST",
            "address_2": "SUITE 201",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041267",
            "telephone_number": "510-517-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "ANGELA",
        "middle_name": "IVY",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Hira Rose, MA, LMFT
• Karen M Rose, MFT
• Marsha Rose
• Peter H Rose, LMFT,M.S., PPSC
• Heather McLaren Roselaren, LCSW/MPH
• Marla Rae Rosen, M.ED.
• Brian Rosenberg
• John George Rosenberg, M.D.
• Marina Rosenberg, FNP-C
• Nicholas David Rosenberg, LCSW

• Acupuncturist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2012; 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.