Individual provider Active NPI

Carlos M. Rosario, MD

  • Clinical Neurophysiology Physician
  • Santa Ana, CA
National Provider Identifier
1477560829
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
G85815 Issued in CA
Practice address
1570 Brookhollow Dr
Ste. 211
Santa Ana, CA 92705-5428
Phone
(866) 322-4222
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G85815 CA
Clinical Neurophysiology Physician 2084N0600X G85815 CA Primary

Addresses

Primary practice location

1570 Brookhollow Dr
Ste. 211
Santa Ana, CA 92705-5428

Mailing address

690 Veteran Ave
#208
Los Angeles, CA 90024-1946
Phone (310) 443-8942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G85815CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Evaluation Centers, Professional Corp. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carlos.rosario@3613.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1477560829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 VETERAN AVE",
            "address_2": "#208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900241946",
            "telephone_number": "310-443-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 BROOKHOLLOW DR",
            "address_2": "STE. 211",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055428",
            "telephone_number": "866-322-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "CARLOS",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G85815",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "G85815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.