Samuel Joseph Rosener, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP16289 Issued in CA

Practice address

6989 Ironridge CT
Fontana, CA 92336-4467

Phone

(909) 234-6454

NPI assigned

Nov 20, 2009

Sex

Male

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1487982948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6989 IRONRIDGE CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364467",
            "telephone_number": "909-234-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6989 IRONRIDGE CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364467",
            "telephone_number": "909-234-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENER",
        "first_name": "SAMUEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-20",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP16289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julius E. Roque
• Arianna Rosales, PHARMD
• Connie Yen Rose, PHARM D
• Jasmine Rose, PHARM D
• Richard K.T. Rose, M.D.
• Robert C. Rosenquist, MD
• Nathaniel Rosete Jr., PA-C
• David E Ross, PHARM.D.
• Melissa Ross
• Ellen Marie Roth, C.R.N.A.

• Speech-Language Pathologist in Fontana, CA
• Providers in Fontana, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.