Rosemary Santos Chequer, M.D.
Individual provider Active NPI Neurological Surgery Physician · Patton, CA
NPI 1821068784 · NPPES record last updated Mar 19, 2014
Key facts
- NPI
- 1821068784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- A55105 (CA)
- Practice address
- 3102 E. Highland Avenue
Medical Staff Office
Patton, CA 92369 - Phone
- (909) 425-7679
- Fax
- (909) 425-6635
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Department of State Hospitals
Practice addresses (Care Compare)
3102 E Highland Ave
Patton, CA 92369-7813
Phone (916) 651-8811
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050415000875 | CA | Practitioner - Neurology | 2668419086 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55105 | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current |
Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current |
Accepting new patients | |
| Superior Multi-Specialty Medical Group Inc of Ca | Past | Accepting new patients | |
| Cusm Health | Past |
Accepting new patients |
Locations
3102 E Highland Ave
Ofc
Patton, CA 92369
Phone (909) 425-7000
3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A55105 | CA | Yes |
Addresses
Primary practice location
3102 E. Highland Avenue
Medical Staff Office
Patton, CA 92369
Mailing address
3102 E. Highland Avenue
Medical Staff Office
Patton, CA 92369
Phone (909) 425-7679
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A551050 | Medicaid | CA |
Other providers in Patton, CA
- Edward P Case
- Mireille C Castan
- Wendy Chan
- Carise Elizabeth Charles
- Elsie Cheng
- Johnnie CHI
- Yok H Choi
- Beth Lily Chung
- Sang Van Chung
- Kimberly Doreatha Claggett
All providers in Patton, CA · Neurological Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.