Active NPI
Macrina Alejandra Rosas Rosas
- Internal Medicine Physician
- Orange, CA
National Provider Identifier
1972290625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P25
- Practice address
- 4010 E Chapman Ave Ste C
Orange, CA 92869-3990 - Phone
- (714) 500-0356
- NPI assigned
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P25 | CA | Primary |
Addresses
Primary practice location
4010 E Chapman Ave Ste C
Orange, CA 92869-3990
Mailing address
2040 Camfield Ave
Commerce, CA 90040-1574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230511003493 | CA | Order and Referring Only - Internal Medicine | 2264898519 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P25 | CA | MD | Internal Medicine Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1972290625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 CAMFIELD AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900401574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 E CHAPMAN AVE STE C",
"city": "ORANGE",
"state": "CA",
"postal_code": "928693990",
"telephone_number": "714-500-0356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSAS ROSAS",
"first_name": "MACRINA",
"middle_name": "ALEJANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-21",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "P25",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.