Active NPI
Catherine Joyce Rose, M.D.
- Pediatrics Physician
- San Jose, CA
National Provider Identifier
1518054980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G55396
- Practice address
- 2577 Samaritan Dr
Suite # 725
San Jose, CA 95124-4100 - Phone
- (408) 358-2755
- NPI assigned
- Oct 6, 2006
- Last updated
- Jul 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G55396 | CA | Primary |
Addresses
Primary practice location
2577 Samaritan Dr
Suite # 725
San Jose, CA 95124-4100
Mailing address
2350 W El Camino Real
2ND Floor
Mountain View, CA 94040-6201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55396 | CA | MD | Dentist |
| G55396 | CA | MD | Pediatrics Physician |
Interoperability endpoints
- crosemd118825@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1518054980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W EL CAMINO REAL",
"address_2": "2ND FLOOR",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940406201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2577 SAMARITAN DR",
"address_2": "SUITE # 725",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244100",
"telephone_number": "408-358-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "CATHERINE",
"middle_name": "JOYCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G55396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.