Avery Rogers, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

62747 Issued in CA

Practice address

522 W Carson St
Carson, CA 90745-2635

Phone

(310) 320-3400

NPI assigned

Aug 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• United Urgent Care and Wellness Center, Inc.

  • Urgent Care Clinic/Center
  • Carson, CA
  • NPI 1275948994
  NPD

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1861174740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 MCBETH CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452635",
            "telephone_number": "310-320-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "AVERY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "62747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna Rodriguez
• Isidro Rodriguez Jr.
• Jesus Rodriguez
• Sonia Rodriguez
• Andrea Rodriquez
• Melissa May Rogers, RD
• Vanessa Rogong, NP
• Joy Benavente Rojas
• Ana Cecilia Romero
• Carlos Romero Jr.

• Physician Assistant in Carson, CA
• Providers in Carson, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.