Michael R Rose, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G33914 Issued in CA

Practice address

2400 N Broadway
Los Angeles, CA 90031-2219

Phone

(323) 221-6121

Fax

(323) 221-6120

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Ophthalmology

Education

Wayne State University School of Medicine, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Institute of California Medical Group, a California Medical ParGroup PAC ID 4587760749, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Retina Institute of California Medical Group, a California Medical Par

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1760541569
  Medicare reassignment Care Compare group NPD
• Rose Eye Medical

  • Specialist
  • Costa Mesa, CA
  • NPI 1972722932
  NPD (past) Authorized official
• Trilogy Eye Medical Group Inc

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1114205432
  NPD
• Ahmc San Gabriel Valley Medical

  • Skilled Nursing Facility
  • San Gabriel, CA
  • NPI 1710174818

  Ophthalmology

  NPD (past)
• Barry a. Katzman, M.D., Inc Apc

  • Optometrist
  • San Diego, CA
  • NPI 1588842488
  NPD (past)
• Dignity Community Care

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  NPD (past)
• Good Samaritan Hospital Ca LTD PTP

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1205852209
  NPD (past)
• Ocular Institute of California, a Medical Corporation

  • Specialist
  • City of Industry, CA
  • NPI 1518132596
  NPD (past)
• Ocular Institute of California, a Medical Corporation

  • Ophthalmology Physician
  • Rosemead, CA
  • NPI 1922164433
  NPD (past)
• Regents Univ of Calif Los Angeles

  • Psychiatric Hospital
  • Los Angeles, CA
  • NPI 1952308363
  NPD (past)
• Usc University Hospital, Inc.

  • Psychiatric Hospital Unit
  • Los Angeles, CA
  • NPI 1790718500
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1861593006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053205",
            "telephone_number": "626-269-5371",
            "fax_number": "626-574-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312219",
            "telephone_number": "323-221-6121",
            "fax_number": "323-221-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G33914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0014310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Cristal Rose
• Kelsey Ann Rose
• Krista Nicole Rose, PHD
• Leslie Rose
• Linda Rose, M.A., LMFT
• Millicent Shungu Rose, LMFT
• Raphael D. Rose, PH.D.
• Shira Rachel Rose
• Thomas A Rose, OD
• Victoria Rose

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.