Individual provider Active NPI

Michelle Edith Rosser

  • Peer Specialist
  • Los Angeles, CA
National Provider Identifier
1760275564
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-KPJGLB Issued in CA
Practice address
939 W 66TH St Apt 1
Los Angeles, CA 90044-5374
Phone
(323) 492-7354
NPI assigned
May 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-KPJGLB CA Primary

Addresses

Primary practice location

939 W 66TH St Apt 1
Los Angeles, CA 90044-5374

Mailing address

939 W 66TH St Apt 1
Los Angeles, CA 90044-5374
Phone (323) 492-7354

Other practice location 1

120 W Florence Ave Apt 1
Los Angeles, CA 90003-1805
Phone (626) 600-2691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MPSS-KPJGLBCAMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1748044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1760275564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 W 66TH ST APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900445374",
            "telephone_number": "323-492-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 W 66TH ST APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900445374",
            "telephone_number": "323-492-7354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W Florence Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900031805",
            "country_code": "US",
            "telephone_number": "626-600-2691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSER",
        "first_name": "MICHELLE",
        "middle_name": "EDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-KPJGLB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.