JOSEPH JACK ROSE (NPI# 1033691480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033691480 |
| Entity Type | Individual |
| Full Name | JOSEPH JACK ROSE |
| Credential | RN |
| Practice Address |
1001 Potrero Ave San Francisco CA 94110 |
| Practice Telephone | 4152068125 |
| Practice Fax Number | 4152065733 |
| Mailing Telephone | 4152068125 |
| Mailing Fax Number | 4152065733 |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2018-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95103994 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN | 95103994 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568844850 | Joseph Rose Jr. | Physician Assistant | 5300 Harroun Rd Ste 118, Sylvania, OH 43560-2146 | 2015-06-23 |
| 1730188053 | Joseph G Rose | Internal Medicine | 9600 Lile Dr, Suite 100, Little Rock, AR 72205-6326 | 2005-07-19 |
| 1598761512 | Joseph A Rose | Internal Medicine | 2979 Main St, Bridgeport, CT 06606-4252 | 2005-06-23 |
| 1841666864 | Joseph Rose | Pharmacist | 6498 Pony Express Trl, Pollock Pines, CA 95726-9604 | 2015-08-13 |
| 1578943007 | Joseph Rose | Physical Therapist | 107 Swift St, Refugio, TX 78377-2425 | 2015-05-29 |
| 1356693378 | Joseph Duane Rose | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2012-10-15 |
| 1245492925 | Joseph David Rose | Obstetrics & Gynecology | 112 La Casa Via, Walnut Creek, CA 94598-3091 | 2008-06-25 |
| Street Address |
1001 POTRERO AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769002 | Neda Ratanawongsa | Internal Medicine | 1001 Potrero Ave, 1m General Medicine Clinic, San Francisco, CA 94110-3518 | 2005-06-13 |
| 1275132151 | Rachel Mei Lin Bishop | Occupational Therapist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-10-21 |
| 1265049340 | Elizabeth Meiselman | Specialist | 1001 Potrero Ave, Main Building 5, 6th Floor, 6m, San Francisco, CA 94110 | 2020-09-23 |
| 1376159269 | Holly Taylor | Dietitian, Registered | 1001 Potrero Ave, San Francisco, CA 94110-3594 | 2020-09-17 |
| 1972116879 | Marissa Ferry | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-08-28 |
| 1043837982 | Abegail M Rabut | Technician/Technologist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-06-26 |
| 1669098448 | Denise Intal Mariano | Spec/Tech, Pathology | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-06-17 |
| 1730705500 | Lakshmi Gopalakrishnan | Specialist | 1001 Potrero Ave, Bldg 5, Room 7g19, San Francisco, CA 94110 | 2020-06-17 |
| 1932720828 | Kim Trong Nguyen | Pharmacist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-05-01 |
| 1730700139 | Heather Waldorf | Dietitian, Registered | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811201932 | Jocelyne M Nielsen | Registered Nurse | 465 Brussels St, San Francisco, CA 94134-1711 | 2010-07-30 |
| 1831221217 | Kim Yoong Yong | Registered Nurse | 3544 Anza St, San Francisco, CA 94121-2927 | 2007-03-11 |
| 1891832358 | Bethany Joyce Phoenix | Registered Nurse | 3180 18th St, Ste. 202, San Francisco, CA 94110-2043 | 2007-01-31 |
| 1649895491 | Elizabeth Reasoner | Registered Nurse | 1563 Mission St, San Francisco, CA 94103-2543 | 2020-06-08 |
| 1760049233 | Beth Nielsen | Registered Nurse | 2 Koret Way, San Francisco, CA 94143-2218 | 2019-05-21 |
| 1861974214 | Chinaemerem Nwaokoro | Registered Nurse | 1001 Potrero Ave, San Francisco, CA 94110 | 2018-09-02 |
| 1235619685 | Shannon Tam | Registered Nurse | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2018-08-15 |
| 1801374889 | Marissa Boeding | Registered Nurse | 760 Harrison St, San Francisco, CA 94107-1235 | 2018-08-01 |
| 1831687433 | Annabel Hertz | Registered Nurse | 1421 Broderick St, San Francisco, CA 94115-3304 | 2018-04-29 |
| 1407362676 | Nancy Gudino | Registered Nurse | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2017-12-23 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
Please comment or provide details below to improve the information on JOSEPH JACK ROSE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.