South Gate Rose Pharmacy Inc

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

5713290001 Issued in CA

Legal business name

SOUTH GATE ROSE PHARMACY INC

Practice address

517 N Main St
Suite 101
Santa Ana, CA 92701-4619

Phone

(714) 953-6861

Fax

(714) 953-6868

NPI assigned

Oct 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rossmari R Ramos-Zamora

Title

Ceo

Phone

(714) 953-6061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Blue Rose Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• South Gate Rose Phcy Inc

  dba Blue Rose Pharmacy

  • Long Term Care Pharmacy
  • Buena Park, CA
  • NPI 1396756805
  NPD tax ID
• Southgate Rose Pharmacy Inc

  dba Bluerose Pharmacy

  • Ambulatory Family Planning Facility
  • Buena Park, CA
  • NPI 1528144664
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Diep, AMFT

  • Marriage & Family Therapist
  • Anaheim, CA
  • NPI 1629731963
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932283140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "address_2": "SUITE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014619",
            "telephone_number": "714-953-6861",
            "fax_number": "714-953-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "address_2": "SUITE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014619",
            "telephone_number": "714-953-6861",
            "fax_number": "714-953-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GATE ROSE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMOS-ZAMORA",
        "authorized_official_first_name": "ROSSMARI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-953-6061"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "CA",
            "license": "5713290001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Coast Orthopedics
• South Coast Pediatrics
• South Coast Pediatrics
• South Coast Urgent Care Center, Inc
• South County Anesthesiology Inc
• Ashley Southard
• Southern California Dermatology, Inc
• Southern California Medical Specialists, Inc.
• Southern California Prosthetics, Inc.
• Southern California Specialty Care, LLC

• Ambulatory Family Planning Facility in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Ambulatory Family Planning Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.