Active NPI
Elaine L Rosen, M.D.
- Pediatrics Physician
- Santa Clarita, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A50232
- Practice address
- 27924 Seco Canyon Rd
Santa Clarita, CA 91350-3870 - Phone
- (661) 513-2100
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A50232 | CA | Primary |
Addresses
Primary practice location
27924 Seco Canyon Rd
Santa Clarita, CA 91350-3870
Mailing address
PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A502320 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50232 | CA | MD | General Practice Dentistry |
| A50232 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Pediatrics | Current | Accepting new patients |
| Providence Health System - Southern California | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| Henry Mayo Newhall Memorial Hospital | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| California Center for Healthy Living | Past | Accepting new patients | |
| Tarzana Medical Center LLC | Past | Accepting new patients | |
| UCLA Medical Group | Pediatrics | Past | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Locations
200 UCLA Medical Plz
Ste 265
Los Angeles, CA 90095
Phone (310) 206-2429
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
10833 Leconte Ave 12494 Mdcc
Los Angeles, CA 90095
Phone (310) 825-9124
10833 Le Conte Ave
#12311
Los Angeles, CA 90095
Phone (310) 825-9124
1260 15th St
Ste 1002
Santa Monica, CA 90404
Phone (424) 259-8570
1260 15th St
Ste 1024
Santa Monica, CA 90404
Phone (424) 259-8570
Interoperability endpoints
- elaine.rosen.p1@direct.lakeside.nextgenshare.com
Organizations & group practices 9
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.
-
- Pediatrics Physician
- Los Angeles, CA
- NPI 1982667663
-
- Exclusive Provider Organization
- Encino, CA
- NPI 1629306089
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1730114133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9602",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913469602",
"telephone_number": "818-837-5559",
"fax_number": "818-792-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27924 SECO CANYON RD",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913503870",
"telephone_number": "661-513-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "ELAINE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A50232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A502320",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.