Teodosia Jennifer Rotar

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

12127 Mall Blvd # A253
Victorville, CA 92392-7665

Phone

(951) 522-2408

NPI assigned

Jan 10, 2026

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

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

{
    "created_epoch": "1768003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1881552701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127 MALL BLVD # A253",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927665",
            "telephone_number": "951-522-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12127 MALL BLVD # A253",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927665",
            "telephone_number": "951-522-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTAR",
        "first_name": "TEODOSIA",
        "middle_name": "JENNIFER",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-10",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnie Rose
• Kenneth Arthur Rose, M.D.
• Rosemarie Cristina P. Reyes DDS Inc.
• Roshan T Melvani MD Inc
• Ericka Ross
• Christine Deanne Rouse, RAS
• Antonia Roux
• Sally Amber Rowe
• Jonathan Peter Roy, PA-C
• Ernest Rubio Jr., DC

• Case Manager/Care Coordinator in Victorville, CA
• Providers in Victorville, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; 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.