John Scott Rossi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT8156 Issued in CA

Practice address

615 North Palm Avenue
Ontario, CA 91762

Phone

(909) 986-4162

Fax

(909) 984-3657

NPI assigned

Jan 19, 2006

Last updated

Mar 24, 2008By the provider in NPPES

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

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Old Newport Optometric AssociatesGroup PAC ID 1254680903, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16772/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Francesca Antoinette Fuertez, OD

  • Optometrist
  • Ontario, CA
  • NPI 1871386250
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Old Newport Optometric Associates

  • Optometrist
  • Newport Beach, CA
  • NPI 1326557109
  Medicare reassignment Care Compare group NPD
• John S Rossi

  • Eyewear Supplier
  • Ontario, CA
  • NPI 1881825800
  Authorized official Same address or phone
• Coastal Eye Care, a Medical Corporation

  • Ophthalmology Physician
  • Newport Beach, CA
  • NPI 1700084159
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1578543161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 NORTH PALM AVENUE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91762",
            "telephone_number": "909-986-4162",
            "fax_number": "909-984-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 NORTH PALM AVENUE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91762",
            "telephone_number": "909-986-4162",
            "fax_number": "909-984-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0081561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bita Roshannia, BA
• Gia Renell Ross, BI
• Mia Michelle Ross
• Serina Santos Ross
• Erika Marie Rossi
• Ashley C Rotter
• Michael Rowland
• Klleirr Roxas
• Royal Himalayan Medical Transportation LLC
• Erika Roybal

• Optometrist in Ontario, CA
• Providers in Ontario, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.