Rose Shoshana Kiprov, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A36455 Issued in CA

Practice address

15051 Hesperian Blvd
Ste a
San Leandro, CA 94578-3536

Phone

(510) 276-1212

Fax

(510) 276-1313

NPI assigned

Oct 13, 2006

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

Other names 1

• Shoshana Rose V. Kiprov Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1881784544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GLORIETTA CT",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633551",
            "telephone_number": "925-254-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15051 HESPERIAN BLVD",
            "address_2": "STE A",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783536",
            "telephone_number": "510-276-1212",
            "fax_number": "510-276-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPROV",
        "first_name": "ROSE",
        "middle_name": "SHOSHANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A36455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHOSHANA",
            "last_name": "KIPROV",
            "middle_name": "ROSE V.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alyssa T King
• Tierra King
• Victoria Jeneke King, LMFT
• Kelly Marie Kinsman
• Alex Kinzler
• Aliayh Kirby
• James D Kirkham, MFT
• Thomas Kirwin
• Anjali Kishore, P.T.
• Brenda Kitagawa

• Ophthalmology Physician in San Leandro, CA
• Providers in San Leandro, 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 13, 2017; 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.