Rosa Maria Gidowski, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A53575 Issued in CA

Practice address

368 W Badillo St
Covina, CA 91723-2212

Phone

(626) 915-5161

Fax

(626) 915-5162

NPI assigned

Nov 30, 2006

Reactivated

Dec 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Emanate Health Medical Center

  dba Citrus Valley Medical Center Queen Of the Valley Campus

  • General Acute Care Hospital
  • West Covina, CA
  • NPI 1063441293
  NPD (past)
• Emanate Health Medical Center

  dba Citrus Valley Medical Center Inter-Community Campus

  • General Acute Care Hospital
  • Covina, CA
  • NPI 1982629440
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1689742702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232212",
            "telephone_number": "626-915-5161",
            "fax_number": "626-915-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232212",
            "telephone_number": "626-915-5161",
            "fax_number": "626-915-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDOWSKI",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2013-01-03",
        "deactivation_date": "2012-09-17",
        "reactivation_date": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A53575",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A53575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlyn Ghoubrial
• Parissa Ghovanlou, MD
• Desinay Debra Gibbs
• Lorraine M Gibbs, BHT
• Nicole Lee Gibson, R.D.H.
• Erin Michelle Gienger, M.A.
• Dazohn Gilchrist
• Maaria Gimenna Gill
• Ariel Gillett
• Steve Ferris Gillingham I, CADC II

• Pediatrics Physician in Covina, CA
• Providers in Covina, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.