Robert J Rose, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G52454 Issued in CA

Practice address

5300 Highway 49 North
Mariposa, CA 95338-1569

Phone

(209) 966-3672

Fax

(209) 966-5548

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/fremont-d0489e1b

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.

• John C Fremont Healthcare District

  • Rural Acute Care Hospital
  • Mariposa, CA
  • NPI 1750504270
  Medicare reassignment NPD
• John C Fremont Healthcare District

  • Family Medicine Physician
  • Coulterville, CA
  • NPI 1124248901
  NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1629085873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-725-7149",
            "fax_number": "209-726-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HIGHWAY 49 NORTH",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953381569",
            "telephone_number": "209-966-3672",
            "fax_number": "209-966-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G52454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G524540",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53871F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph E. C. Rogers, MD
• Andrea Rogerson, SOCIAL WORKER
• Cathy Rohrbaugh
• Renee L. Roper, M.A., LMFT
• Carolyn Joan Rose, M.D.
• Lynn Louette Rumfelt
• Karen Rust, LCSW
• Thanya Ryland, FNP
• Panida Sahasakmontri, DMD
• Gustavo Avila Sanchez

• Family Medicine Physician in Mariposa, CA
• Providers in Mariposa, 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 Sep 25, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.