Rose Medical Group

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

Legal business name

ROSE MEDICAL GROUP

Practice address

2400 N Broadway
Los Angeles, CA 90031-2219

Phone

(323) 221-6121

Fax

(323) 221-6120

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael R. Rose, G33914

Title

President

Phone

(323) 221-6121

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc R Rose, MD

  • Ophthalmology Physician
  • Costa Mesa, CA
  • NPI 1770684938
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1720189061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310250",
            "telephone_number": "323-221-6121",
            "fax_number": "323-221-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312219",
            "telephone_number": "323-221-6121",
            "fax_number": "323-221-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-221-6121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "G33914"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0014310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Rosasco
• Michael D. Rosberg, PHD
• Clanae Rosborough
• Rachael Roscoe
• Rose Garden Hospice, Inc.
• Rose Moon Birth Services LLC
• Sheri Ann Rose-McCashin, LMFT
• Julia Rose-Ramo
• Abigail Maureen Rose, LCSW
• Ashley Raenee Rose, PERSONAL DEVELOPMENT

• Ophthalmic Technician/Technologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmic Technician/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.