Theodore G Rose, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A24727 Issued in CA

Practice address

12462 Brookhurst St a & B
Garden Grove, CA 92840

Phone

(716) 636-9852

Fax

(714) 636-1248

NPI assigned

Aug 8, 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 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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Johns Hopkins University School of Medicine, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathway Medical Group IncGroup PAC ID 5092776690, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pacific Haven Subacute and Healthcare Center Nursing home, Garden Grove, CA, CCN 055575

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Pathway Medical Group, Inc

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1902853302
  Medicare reassignment Care Compare group NPD
• Alameda Health System

  • Surgery Physician
  • Oakland, CA
  • NPI 1740332931
  Medicare reassignment NPD
• Alameda Health System

  • Federally Qualified Health Center (FQHC)
  • Newark, CA
  • NPI 1497956288
  NPD
• Pathway Medical Group, Inc

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1407802069

  Internal Medicine

  NPD
• Pathway Medical Group, Inc.

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1407199243
  NPD
• Alta Newport Hospital, LLC

  • General Acute Care Hospital
  • Tustin, CA
  • NPI 1043632938
  NPD (past)
• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  NPD (past)
• Pathway Medical Group, Inc

  • Internal Medicine Physician
  • Westminster, CA
  • NPI 1164473757
  NPD (past)
• South Coast Global Medical Center, Inc

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1558354258
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Strawberry Pond Healthcare LLC

  • Skilled Nursing Facility
  • Garden Grove, CA
  • NPI 1912724469

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1629088281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 N. COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "510-847-8897",
            "fax_number": "510-437-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 BROOKHURST ST A & B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92840",
            "telephone_number": "716-636-9852",
            "fax_number": "714-636-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "THEODORE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A24727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A247270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Rosales
• Michael Rosales
• Bryan Jorge Rosas
• Geovanny Rosas
• Miryam Rose
• Florencia Rosete
• Hannah Ross, DPT
• Karen Sue Ross, MSW IN CALIF LCSW
• Patricia Ross
• Tracy Ross, RDH

• Internal Medicine Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.