Individual provider Active NPI

Roselle Estanislao Liganor, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Oceanside, CA
National Provider Identifier
1821251828
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
20A13943 Issued in CA
Practice address
2170 S El Camino Real Ste 117-122
Oceanside, CA 92054-6203
Phone
(760) 730-8060
Fax
(760) 730-8061
NPI assigned
Jul 9, 2008
Last updated
Sep 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A13943 CA Primary

Addresses

Primary practice location

2170 S El Camino Real Ste 117-122
Oceanside, CA 92054-6203

Mailing address

10072 Branford Rd
San Diego, CA 92129-3223
Phone (858) 603-8050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150827001165 CA Practitioner - Physical Medicine and Rehabilitation 5395051999 Reassigns benefits to 1 organization
I20211129002294 HI Practitioner - Osteopathic Manipulative Medicine 5395051999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luthien LLCGroup PAC ID 5597929430, 2 clinicians

Practice addresses (Care Compare)

970 N Kalaheo Ave
Suite C116
Kailua, HI 96734-1866
Phone (808) 270-5001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
13943CAMDOptometrist
20A13943CAMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Non-Surgical Orthopedic Center a Professional Medical Corporation CurrentSince Jul 20, 2015 Accepting new patients
Luthien LLC Neuromusculoskeletal Medicine & Omm CurrentSince Jan 10, 2022 Accepting new patients

Locations

2170 S El Camino Real
Ste 117122
Oceanside, CA 92054
Phone (760) 730-8060

970 N Kalaheo Ave
Ste C109
Kailua, HI 96734
Phone (808) 222-9910

970 N Kalaheo Ave
Ste C116
Kailua, HI 96734
Phone (808) 270-5001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1821251828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10072 BRANFORD RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293223",
            "telephone_number": "858-603-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 S EL CAMINO REAL STE 117-122",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546203",
            "telephone_number": "760-730-8060",
            "fax_number": "760-730-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGANOR",
        "first_name": "ROSELLE",
        "middle_name": "ESTANISLAO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A13943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.