Organization Active NPI

Rosamond Medical Clinic

  • Internal Medicine Physician
  • Rosamond, CA
National Provider Identifier
1669923546
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G078625 Issued in CA
Legal business name
ROSAMOND MEDICAL CLINIC
Practice address
1415 W Rosamond Blvd
#24
Rosamond, CA 93560-7429
Phone
(559) 772-8503
Fax
(559) 772-8504
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Ashmead Ali, M.D
Title
Owner
Phone
(559) 772-8503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G078625 CA Primary

Addresses

Primary practice location

1415 W Rosamond Blvd
#24
Rosamond, CA 93560-7429

Mailing address

41019 Woodshire Dr
Palmdale, CA 93551-5746
Phone (559) 772-8503

Other identifiers 1

IdentifierTypeStateIssuer
G078625OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Ashmead Ali4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1669923546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41019 WOODSHIRE DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515746",
            "telephone_number": "559-772-8503",
            "fax_number": "559-772-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W ROSAMOND BLVD",
            "address_2": "#24",
            "city": "ROSAMOND",
            "state": "CA",
            "postal_code": "935607429",
            "telephone_number": "559-772-8503",
            "fax_number": "559-772-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSAMOND MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ASHMEAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-772-8503",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G078625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G078625",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosamond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.