David Ross Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

970000079 Issued in CA

Legal business name

DAVID ROSS INC.

Practice address

1899 North Raymond Avenue
Pasadena, CA 91103

Phone

(626) 797-2120

Fax

(626) 797-2536

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Raymond Pellicer

Title

Administrator

Phone

(626) 797-2120

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ROSE GARDEN CONVALESCENT CENTER Doing business as

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1801891395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 NORTH RAYMOND AVENUE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91103",
            "telephone_number": "626-797-2120",
            "fax_number": "626-797-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 NORTH RAYMOND AVENUE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91103",
            "telephone_number": "626-797-2120",
            "fax_number": "626-797-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ROSS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "PELLICER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-797-2120"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70166F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05862I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSE GARDEN CONVALESCENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David L. Antion, PH.D., a Professional Corporation
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• David R. Wyndhamsmith, a Professional Dental Corporation
• David R. Wyndhamsmith, a Professional Dental Corporation
• David T. Dang M.D. Inc.
• Nicolette David
• Clint Steven Davids
• Eugene Maurice Davidson
• Joseph K Davidson, M.D.

• Skilled Nursing Facility in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.