Individual provider Active NPI

Rosalie Vered Kogan, MD (PHD)

  • Internal Medicine Physician
  • Porterville, CA
National Provider Identifier
1831769512
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A192284 Issued in CA
Practice address
55 N E St Apt 6
Porterville, CA 93257-3523
Phone
(424) 385-6431
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A192284 CA Primary

Addresses

Primary practice location

55 N E St Apt 6
Porterville, CA 93257-3523

Mailing address

55 N E St Apt 6
Porterville, CA 93257-3523
Phone (424) 385-6431

Other practice location 1

167 Main St
Tuba City, AZ 86045
Phone (866) 976-5941

Other practice location 2

Corner of Route N12 and N7
P.O. Box 649
Fort Defiance, AZ 86504
Phone (928) 729-8000

Other practice location 3

450 E Romie Ln
Salinas, CA 93901-4029
Phone (831) 757-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20250123000398 CA Practitioner - Internal Medicine 5597294355 Reassigns benefits to 4 organizations
I20250614000376 TX Practitioner - Internal Medicine 5597294355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuba City Regional Health Care CorporationGroup PAC ID 4284542531, 160 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians
The Fort Defiance Indian Hospital Board, IncorporationGroup PAC ID 0941336697, 153 clinicians

Practice addresses (Care Compare)

167 N Main St
Tuba City Indian Medical Center
Tuba City, AZ 86045-0600
Phone (928) 283-2094

2800 L St
Sacramento, CA 95816-5616

450 E Romie LN
Salinas, CA 93901-4029
Phone (831) 759-3257

Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082

PO Box
Suite 649
Fort Defiance, AZ 86504-0649

Hospital & facility affiliations

  • Fort Defiance Indian Hospital Hospital, Ft. Defiance, AZ, CCN 030071
  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334
  • Tuba City Regional Health Care Corporation Hospital, Tuba City, AZ, CCN 030073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A192284CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Group Services, PC CurrentSince Dec 22, 2024 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Jul 1, 2025 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Aug 4, 2025 Accepting new patients
Svmhs Clinics CurrentSince Mar 3, 2025 Accepting new patients
Svmhs Clinics CurrentSince Mar 3, 2025 Accepting new patients
Valley Hospitalist Medical Group, Inc CurrentSince Feb 4, 2025 Accepting new patients
Tuba City Regional Health Care Corporation Internal Medicine Current Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince May 19, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Aug 4, 2025 Accepting new patients
Desert Group Services, PC CurrentSince Dec 22, 2024 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine Current Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: rkogan742377@hisp.ehr.sutterhealth.org
  • Direct secure messaging: rkogan26857@direct.svmh.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1831769512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N E ST APT 6",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573523",
            "telephone_number": "424-385-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N E ST APT 6",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573523",
            "telephone_number": "424-385-6431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 Main St",
            "address_purpose": "LOCATION",
            "city": "Tuba City",
            "state": "AZ",
            "postal_code": "86045",
            "country_code": "US",
            "telephone_number": "866-976-5941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Corner of Route N12 and N7",
            "address_2": "P.O. Box 649",
            "address_purpose": "LOCATION",
            "city": "Fort Defiance",
            "state": "AZ",
            "postal_code": "86504",
            "country_code": "US",
            "telephone_number": "928-729-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 E Romie Ln",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939014029",
            "country_code": "US",
            "telephone_number": "831-757-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "ROSALIE",
        "middle_name": "VERED",
        "credential": "MD (PHD)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2025-07-10",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A192284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.