Organization Active NPI

Rosh OB-GYN Ultrasound of Ca P.C.

  • Maternal & Fetal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1851774574
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
55324 Issued in CA
Legal business name
ROSH OB-GYN ULTRASOUND OF CA P.C.
Practice address
415 Old Newport Blvd
Suite 100
Newport Beach, CA 92663-4248
Phone
(949) 642-3606
Fax
(949) 548-7800
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Daniel Roshan, MD
Title
Owner
Phone
(516) 439-4408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X 55324 CA Primary

Addresses

Primary practice location

415 Old Newport Blvd
Suite 100
Newport Beach, CA 92663-4248

Mailing address

PO Box 231023
Great Neck, NY 11023-0023
Phone (212) 725-0123

National Provider Directory

National Provider Directory

Locations

14901 Rinaldi St
Ste 320B
Mission Hills, CA 91345

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1851774574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231023",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110230023",
            "telephone_number": "212-725-0123",
            "fax_number": "212-725-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 OLD NEWPORT BLVD",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634248",
            "telephone_number": "949-642-3606",
            "fax_number": "949-548-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSH OB-GYN ULTRASOUND OF CA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "ROSHAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-439-4408",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "55324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.