Rose Eye Medical

Primary specialty

SpecialistTaxonomy code 174400000X

License

G33914 Issued in CA

Legal business name

ROSE EYE MEDICAL

Practice address

3420 Bristol St
Suite 700
Costa Mesa, CA 92626-7170

Phone

(714) 957-0273

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael R Rose, G33914NPI 1861593006

Title

President

Phone

(323) 221-6121

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Coast Eye Institute Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael R Rose, MD

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1861593006
  NPD (past) Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972722932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 BRISTOL ST",
            "address_2": "SUITE 700",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267170",
            "telephone_number": "714-272-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 BRISTOL ST",
            "address_2": "SUITE 700",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267170",
            "telephone_number": "714-957-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE EYE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-221-6121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "G33914"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G33914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0014311",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Coast Eye Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carlos Alfonso Rosas Padilla
• Eduardo Rosas
• Francisco Jose Rosas Jr.
• Kevin Rosas
• Mary L Rosas
• Marc R Rose, MD
• Rachel Elizabeth Rosenbaum
• Gwynivere Rosenberg Hook
• Alexis Leah Rosenstrauch
• Amy Rosete

• Specialist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Specialist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.