Individual provider Active NPI

Jamaal Rogers, RN

  • Certified Registered Nurse Anesthetist
  • Cleveland, OH
National Provider Identifier
1497028625
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001616 Issued in CA
Practice address
1115 Parkside Rd
Cleveland, OH 44108-2969
Phone
(216) 244-8617
NPI assigned
Feb 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95001616 CA Primary
Registered Nurse 163W00000X 351823 OH

Addresses

Primary practice location

1115 Parkside Rd
Cleveland, OH 44108-2969

Mailing address

1115 Parkside Rd
Cleveland, OH 44108-2969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220419002431 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799172888 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange Coast Anesthesia IncGroup PAC ID 2466613591, 85 clinicians
Dream Anesthesia a Professional Medical CorporationGroup PAC ID 0547549370, 9 clinicians

Practice addresses (Care Compare)

1420 S Central Ave
Glendale, CA 91204-2508
Phone (818) 502-1900

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222

Hospital & facility affiliations

  • Mission Community Hospital Hospital, Panorama City, CA, CCN 050704
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
351823OHMDRegistered Nurse
95001616CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Coast Anesthesia Inc CurrentSince Nov 24, 2024 Accepting new patients
Dream Anesthesia, a Professional Medical Corporation CurrentSince May 1, 2025 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Community Foundation Medical Group CurrentSince Jan 25, 2022 Accepting new patients
Community Foundation Medical Group CurrentSince Jan 25, 2022 Accepting new patients
Regional Anesthesia Associates Inc CurrentSince Dec 15, 2021 Accepting new patients
Valley Regional Anesthesia Associates Inc Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

1630 E Herndon Ave
Fresno, CA 93720
Phone (559) 256-5200

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

1801 Colorado Ave
Ste 140
Turlock, CA 95382
Phone (209) 216-3470

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1329609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1497028625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 PARKSIDE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 PARKSIDE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082969",
            "telephone_number": "216-244-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JAMAAL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-19",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001616",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "351823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.