NPIMap

Individual provider Active NPI

Maria Carmela Nazareno Rosales, M.D.

  • Nephrology Physician
  • San Jose, CA
National Provider Identifier
1780706762
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
54935 Issued in CA
Practice address
2360 McKee Rd
Suite 10
San Jose, CA 95116-1618
Phone
(408) 729-7128
Fax
(408) 729-4125
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 54935 CA Primary

Addresses

Primary practice location

2360 McKee Rd
Suite 10
San Jose, CA 95116-1618

Mailing address

2360 McKee Rd
Suite 10
San Jose, CA 95116-1618
Phone (408) 729-7128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140903000923 CA Practitioner - NephrologyPractitioner - Internal Medicine 5991890477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jun 2, 2018 Accepting new patients
County of Santa Clara CurrentSince Jun 2, 2018 Accepting new patients

Locations

2220 Moorpark Ave
San Jose, CA 95128
Phone (408) 885-5729

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

Interoperability endpoints

  • Direct secure messaging: mrosales11417@santaclaravalley.direct-ci.net

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1780706762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MCKEE RD",
            "address_2": "SUITE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161618",
            "telephone_number": "408-729-7128",
            "fax_number": "408-729-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MCKEE RD",
            "address_2": "SUITE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161618",
            "telephone_number": "408-729-7128",
            "fax_number": "408-729-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "MARIA CARMELA",
        "middle_name": "NAZARENO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "54935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.