Robert C Rosa, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7774T Issued in CA

Practice address

11495 Carmel Mountain Rd
102
San Diego, CA 92128-4618

Phone

(858) 675-0485

NPI assigned

Oct 24, 2005

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• David Isaac Bloomberg, OD

  • Optometrist
  • Poway, CA
  • NPI 1952400939
  Medicare reassignment

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700876539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 WOLVERINE WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845301",
            "telephone_number": "760-940-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11495 CARMEL MOUNTAIN RD",
            "address_2": "102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284618",
            "telephone_number": "858-675-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7774T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0077740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marko Roque
• Brendan Rorabaugh
• Amy Rorstad, PHARM.D
• Mynor Rosa
• Nicholas Thomas Rosa
• Dianelys Rosado Rivera
• Roselyna Rosado, LCSW
• Santos Miguel Rosado, AOD COUNSELOR
• Christopher McKay Rosal
• Gregory Rosal, IMF

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.