Individual provider Active NPI

Doris Rosellini, MD

  • Family Medicine Physician
  • Pittsburg, CA
National Provider Identifier
1730193012
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G175962 Issued in CA
Practice address
2240 Gladstone Dr Ste 4
Pittsburg, CA 94565-5126
Phone
(925) 431-2100
Fax
(925) 431-1234
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G175962 CA Primary

Addresses

Primary practice location

2240 Gladstone Dr Ste 4
Pittsburg, CA 94565-5126

Mailing address

PO Box 22210
Oakland, CA 94623-2210
Phone (510) 535-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071010000829 WA Practitioner - Family Practice 5698861300 Reassigns benefits to 4 organizations
I20220317001595 CA Practitioner - Family Practice 5698861300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Clinica de la Raza IncGroup PAC ID 1557258282, 130 clinicians

Practice addresses (Care Compare)

2000 Sierra Rd
Concord, CA 94518-2905
Phone (925) 363-2000

2240 Gladstone Dr
Pittsburg, CA 94565-5126
Phone (925) 431-1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G175962CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group-Renton Family Medicine CurrentSince May 15, 2010 Accepting new patients
Cornerstone Primary Care, PLLC CurrentSince Jan 1, 2016 Accepting new patients
La Clinica de la Raza Inc CurrentSince Mar 1, 2022 Accepting new patients
La Clinica de la Raza Inc CurrentSince Mar 1, 2022 Accepting new patients
La Clinica de la Raza, Inc. Past Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients
Overlake Medical Center & Clinics Past Accepting new patients

Locations

2240 Gladstone Dr
Ste 4
Pittsburg, CA 94565
Phone (925) 431-1230

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

17900 Talbot Rd S
Ste 102
Renton, WA 98055
Phone (206) 255-9310

4033 Talbot Rd S
Ste 570
Renton, WA 98055
Phone (425) 656-5400

3915 Talbot Rd S
Ste 401
Renton, WA 98055
Phone (425) 656-4224

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1730193012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946232210",
            "telephone_number": "510-535-4000",
            "fax_number": "510-535-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 GLADSTONE DR STE 4",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655126",
            "telephone_number": "925-431-2100",
            "fax_number": "925-431-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLINI",
        "first_name": "DORIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G175962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

Verify at the official NPI Registry.