Active NPI
Donald Edward Rose, D.O.
- Family Medicine Physician
- Colusa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A6476
- Practice address
- 199 E Webster St
Colusa, CA 95932-2954 - Phone
- (530) 458-3283
- Fax
- (530) 458-3215
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A6476 | CA | Primary |
Addresses
Primary practice location
199 E Webster St
Colusa, CA 95932-2954
Mailing address
4214 Meadow Wood CT
El Dorado Hills, CA 95762-7529
Phone (916) 933-8804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX64760 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4062 Flying C Rd
Suite 41
Cameron Park, CA 95682-9664
Phone (530) 676-8234
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6476 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity - Urgent Care Services PC | Family Medicine | Current | Accepting new patients |
| Colusa Emergency Physicians Medical Group, Inc. | Past | Accepting new patients | |
| Valley Emergency Physicians | Past | Accepting new patients |
Interoperability endpoints
- donald.rose.1@20515.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Jovive Urgent Care
- Urgent Care Clinic/Center
- Cameron Park, CA
- NPI 1013588250
-
- Urgent Care Clinic/Center
- Mission Viejo, CA
- NPI 1598394686
Family Medicine
-
- Emergency Medicine Physician
- Colusa, CA
- NPI 1891726816
-
dba Woodland Emergency Physicians Medical Group, Inc.
- Emergency Medicine Physician
- Woodland, CA
- NPI 1831129568
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1619992823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 MEADOW WOOD CT",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957627529",
"telephone_number": "916-933-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 E WEBSTER ST",
"city": "COLUSA",
"state": "CA",
"postal_code": "959322954",
"telephone_number": "530-458-3283",
"fax_number": "530-458-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "DONALD",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A6476",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX64760",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.