Daniel Mark Rosen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10860T Issued in CA

Practice address

5385 W Centinela Ave
Los Angeles, CA 90045-2003

Phone

(310) 670-7422

Fax

(310) 670-4570

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740316033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 W CENTINELA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452003",
            "telephone_number": "310-670-7422",
            "fax_number": "310-670-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 W CENTINELA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452003",
            "telephone_number": "310-670-7422",
            "fax_number": "310-670-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10860T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0108600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Quimson-Cruz, DMD, Inc.
• Stephanie Rosemberg, M.S.
• Rosen Anesthesia Group, a Professional Medical Corporation
• Aracely Rosen, LCSW
• Bradley Todd Rosen, M.D.
• Dieu Nguyen Rosen
• Douglas Rosen
• Emily Rosen, MSW
• Havi Rosen, MD
• Jill Rosen, MFT

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, 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.