NPIMap

Organization Active NPI

Rosaasen Family Medicine, Inc.

  • Primary Care Clinic/Center
  • Thousand Oaks, CA
National Provider Identifier
1841636198
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ROSAASEN FAMILY MEDICINE, INC.
Doing business as
Rosaasen Family Medicine, Inc.
Practice address
187 E Wilbur Rd # 100
Thousand Oaks, CA 91360-5572
Phone
(805) 492-1015
Fax
(805) 492-2035
NPI assigned
May 14, 2013
Last updated
Oct 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Dr. Jonathan Rosaasen, M.D.NPI 1528171352
Title
President
Phone
(805) 492-1015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

187 E Wilbur Rd # 100
Thousand Oaks, CA 91360-5572

Mailing address

187 E Wilbur Rd # 100
Thousand Oaks, CA 91360-5572
Phone (805) 492-1015

Other practice location 1

430 E Avenida De Los Arboles
Suite 204
Thousand Oaks, CA 91360-3003
Phone (805) 492-1015

Other identifiers 4

IdentifierTypeStateIssuer
1528151352OtherCAFAMILY MEDICINE
1497868376OtherCAFAMILY MEDICINE
1073150744OtherCAYOUNG
1174166714OtherCAESGATE

Other names 1

  • Rosaasen Family Medicine, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130904000987 CA Part B Supplier - Clinic/Group Practice 4082857396 Receives reassigned benefits from 5 practitioners
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

Locations

187 E Wilbur Rd
Ste 100
Thousand Oaks, CA 91360
Phone (805) 492-1015

430 E Avenida de los Arboles
Ste 204
Thousand Oaks, CA 91360
Phone (805) 492-1015

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1492/brand/2/csg/21/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1841636198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 E WILBUR RD # 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605572",
            "telephone_number": "805-492-1015",
            "fax_number": "805-492-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 E WILBUR RD # 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605572",
            "telephone_number": "805-492-1015",
            "fax_number": "805-492-2035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 E Avenida De Los Arboles",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913603003",
            "country_code": "US",
            "telephone_number": "805-492-1015",
            "fax_number": "805-492-2035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSAASEN FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "ROSAASEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-492-1015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "1528151352",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "1497868376",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "YOUNG",
            "identifier": "1073150744",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESGATE",
            "identifier": "1174166714",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosaasen Family Medicine, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.