Ross Medical Associates Ladera

Primary specialty

SpecialistTaxonomy code 174400000X

License

C28419 Issued in CA

Legal business name

ROSS MEDICAL ASSOCIATES LADERA

Practice address

800 Corporate Dr
Suite 100
Ladera Ranch, CA 92694-1152

Phone

(949) 364-9112

Fax

(949) 364-9016

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Karl Gebhard, MD

Title

Owner

Phone

(949) 364-9112

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Kenneth A Kazenelson, M.D.

  • Family Medicine Physician
  • Rancho Santa Margarita, CA
  • NPI 1275539637
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1952369290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR",
            "address_2": "SUITE 100",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941152",
            "telephone_number": "949-364-9112",
            "fax_number": "949-364-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR",
            "address_2": "SUITE 100",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941152",
            "telephone_number": "949-364-9112",
            "fax_number": "949-364-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS MEDICAL ASSOCIATES LADERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "GEBHARD",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-364-9112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C28419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "05D1013480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Angel Rodriguez
• Nitza Ninoska Rodriguez, DPM
• Brad Roelofs, CCT
• Adela Viviana Romero I
• Salvina Terese Rondoni, LPCC
• Gina Lynn Ross, PTA
• Tina Rossi
• Hilla Sadri, M.D.
• Ed Samra, DDS
• Saray Sanchez

• Specialist in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.