Individual provider Active NPI

Oscar Valdez Rosas, MD, MPH

  • Psychiatry Physician
  • La Canada, CA
National Provider Identifier
1891826509
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A66042 Issued in CA
Practice address
466 Foothill Blvd
#314
La Canada, CA 91011-3518
Phone
(818) 400-0585
NPI assigned
Mar 7, 2007
Last updated
Jul 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A66042 CA Primary

Addresses

Primary practice location

466 Foothill Blvd
#314
La Canada, CA 91011-3518

Mailing address

466 Foothill Blvd
#314
La Canada, CA 91011-3518
Phone (818) 400-0585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66042CAMDPharmacist
A66042CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penny Lane Centers CurrentSince Sep 1, 2014 Accepting new patients
Penny Lane Centers Current Accepting new patients

Locations

15305 Rayen St
North Hills, CA 91343
Phone (818) 894-3384

10526 Dubnoff Way
North Hollywood, CA 91606
Phone (818) 755-4950

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1891826509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 FOOTHILL BLVD",
            "address_2": "#314",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113518",
            "telephone_number": "818-400-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 FOOTHILL BLVD",
            "address_2": "#314",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113518",
            "telephone_number": "818-400-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAS",
        "first_name": "OSCAR",
        "middle_name": "VALDEZ",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A66042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada, CA

Sources for this page

Verify at the official NPI Registry.