Active NPI
Rose Marie Angella Pitt, MD
- Psychiatry Physician
- Tustin, CA
National Provider Identifier
1841397700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G063342
- Practice address
- 14181 Yorba St Ste 110
Tustin, CA 92780-2054 - Phone
- (714) 547-8611
- Fax
- (714) 547-8640
- NPI assigned
- Sep 20, 2006
- Last updated
- Aug 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G063342 | CA | |
| Psychiatry Physician | 2084P0800X | G063342 | CA | Primary |
Addresses
Primary practice location
14181 Yorba St Ste 110
Tustin, CA 92780-2054
Mailing address
131 N Tustin Ave
Suite 107
Tustin, CA 92780-2926
Phone (714) 547-8611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G063342 | Other | CA | INS ID NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2013 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G063342 | CA | MD | Specialist |
| 63342 | CA | MD | Physician Assistant |
Interoperability endpoints
- rose.pitt.p1@direct.scdc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1841397700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 N TUSTIN AVE",
"address_2": "SUITE 107",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927802926",
"telephone_number": "714-547-8611",
"fax_number": "714-547-8640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14181 YORBA ST STE 110",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927802054",
"telephone_number": "714-547-8611",
"fax_number": "714-547-8640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITT",
"first_name": "ROSE MARIE",
"middle_name": "ANGELLA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G063342",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G063342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INS ID NO",
"identifier": "G063342",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.