Amanda R Rosaasen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A85780 Issued in CA

Practice address

187 E Wilbur Rd # 100
Thousand Oaks, CA 91360-5572

Phone

(805) 492-1015

Fax

(805) 492-2035

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rosaasen Family Medicine, Inc.Group PAC ID 4082857396, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
• Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.rosaasen.3@1492.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1492/brand/2/csg/21/fhir/r4

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.

• Rosaasen Family Medicine, Inc.

  • Primary Care Clinic/Center
  • Thousand Oaks, CA
  • NPI 1841636198
  Medicare reassignment Care Compare group NPD
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  NPD (past)

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

• Los Robles Regional Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1306890389
  Care Compare affiliation
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  Care Compare affiliation

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497868376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 E WILBUR RD # 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605572",
            "telephone_number": "805-492-1015",
            "fax_number": "805-492-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 E WILBUR RD # 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605572",
            "telephone_number": "805-492-1015",
            "fax_number": "805-492-2035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Science Dr",
            "address_2": "Suite #190",
            "address_purpose": "LOCATION",
            "city": "Moorpark",
            "state": "CA",
            "postal_code": "930212094",
            "country_code": "US",
            "telephone_number": "805-531-9400",
            "fax_number": "805-531-9499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 E Avenida De Los Arboles Ste 204",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913603017",
            "country_code": "US",
            "telephone_number": "805-492-1015",
            "fax_number": "805-492-2035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSAASEN",
        "first_name": "AMANDA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald L. Goldstein, O.D.
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• Christopher Aaron Rood
• Root Acupuncture Clinic. Inc
• Rosaasen Family Medicine, Inc.
• Jonathan A Rosaasen, M.D.
• Rosales Inc
• Lorena Rosales
• Rosanna Santos Marriage and Family Therapy, Inc.
• Guadalupe Rosas

• Family Medicine Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.