Mark a Rosa

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

8575T Issued in CA

Legal business name

MARK A ROSA

Practice address

6485 Day St Ste 205
Riverside, CA 92507-0931

Phone

(951) 656-7700

Fax

(951) 656-2472

NPI assigned

Sep 23, 2009

Organization subpart

No

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

Authorized official

Name

Debi Nee

Title

Manager

Phone

(951) 656-7700

Specialties & licenses 1

Addresses

Other names 1

• Mark Rosa OD Doing business as

Tax ID family

Mark a Rosa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mark a Rosa

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1053645648
  NPD tax ID

Locations

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1740514744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 DAY ST STE 205",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070931",
            "telephone_number": "951-656-7700",
            "fax_number": "951-656-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 DAY ST STE 205",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070931",
            "telephone_number": "951-656-7700",
            "fax_number": "951-656-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A ROSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "NEE",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-656-7700"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "8575T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Rosa OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camila Aurelia Mariscal
• Magdakarina Mariscal
• Mayra Mariscal
• Katherine Maritza Contreras
• Mark a Rosa
• Mark D Allison MD a Professional Corp
• Mark D Turneymft, Inc
• Mark D, Allison, MD, a Professional Company
• Mark E Harris D D S Inc
• Ezinwanyi Gift Mark

• Eyewear Supplier in Riverside, CA
• Providers in Riverside, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.