Desert Rose Obstetrics & Gynecology

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

5413 Issued in NV

Legal business name

DESERT ROSE OBSTETRICS & GYNECOLOGY

Doing business as

Desert Rose Women's Care

Practice address

2170 South Ave
South Lake Tahoe, CA 96150

Phone

(775) 882-8487

Fax

(775) 882-8487

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Matthew Joseph Barulich III, M.D.

Title

Physician/Owner

Phone

(775) 846-5228

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Desert Rose Women's Care Doing business as

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1588718522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2046",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89702",
            "telephone_number": "775-882-8487",
            "fax_number": "775-882-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96150",
            "telephone_number": "775-882-8487",
            "fax_number": "775-882-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ROSE OBSTETRICS & GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "BARULICH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "775-846-5228",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "5413",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "0116950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002013051",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Rose Women's Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara D Delorenzo, MSW
• Aubrey Louise Demajh, M.D.
• Hillary Dembroff, OTR
• Joseph H Dengler, PT
• Dental Office of Andrek J Ingersoll
• Elisabeth Dewees
• Holly Ann Dewitt, DACM
• Diagnostic Centers of America LLP
• Jerett Lewis Diamond
• Diane G. Oliver, M.D.

• Obstetrics & Gynecology Physician in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.