ROSAASEN PHYSICAL MEDICINE INC (NPI# 1255651113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255651113 |
| Entity Type | Organization |
| Organization Name | ROSAASEN PHYSICAL MEDICINE INC |
| Practice Address |
2780 Tapo Canyon Rd Suite A3 Simi Valley CA 93063-6840 |
| Practice Telephone | 8055202929 |
| Practice Fax Number | 8055202948 |
| Mailing Telephone | 8055202929 |
| Mailing Fax Number | 8055202948 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | LEAH R GLADDEN (PRESIDENT) |
| Authorized Official Telephone | 8055202929 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 25341 | CA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 27915 | CA | Chiropractic Providers |
| N | 363A00000X | Physician Assistant | 22683 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208D00000X | General Practice | A85781 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2780 TAPO CANYON RD SUITE A3 |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93063-6840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083800296 | Dmitry G Aminov | Dentist | 2780 Tapo Canyon Rd, A-1b, Simi Valley, CA 93063-6840 | 2007-09-20 |
| 1093103954 | Dmitry Aminov Dental Corp | Dentist | 2780 Tapo Canyon Rd, Suite A-1b, Simi Valley, CA 93063-6840 | 2014-12-30 |
| 1902204019 | Gennady Orlovetsky, D.d.s., Inc. | Dentist | 2780 Tapo Canyon Rd, Ste. A-1b, Simi Valley, CA 93063-6840 | 2014-12-05 |
| 1609112192 | Kenneth T Thompson | Physician Assistant | 2780 Tapo Canyon Rd, Suite A3, Simi Valley, CA 93063-6840 | 2013-01-02 |
| 1033481668 | Rosaasen Physical Medicine Inc. | Non-Pharmacy Dispensing Site | 2780 Tapo Canyon Rd, Suite A-3, Simi Valley, CA 93063-6840 | 2012-01-27 |
| 1518139666 | Richard Arnold Wright | Chiropractor | 2780 Tapo Canyon Rd, Simi Valley, CA 93063-6840 | 2008-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1467925727 | Shelly Marie Spencer | Marriage & Family Therapist | 1985 Yosemite Ave Ste # 230, Simi Valley, CA 93063 | 2019-01-09 |
| 1245739150 | Hartounian Dental Group Inc. | Dentist | 4210 E Los Angeles Ave Ste F, Simi Valley, CA 93063 | 2018-02-06 |
| 1932628112 | James Luong | Physician Assistant | 3125 Anasazi Way, Simi Valley, CA 93063 | 2017-09-19 |
| 1598291064 | Golden Translating Services Inc | Community/Behavioral Health | 2112 Ralston Ave, Simi Valley, CA 93063 | 2017-05-03 |
| 1447793799 | Kenneth Miles Belden | Social Worker | 3030 Omega Avenue, Simi Valley, CA 93063 | 2016-11-18 |
| 1164979332 | Megan Zigler | Specialist/Technologist | 2127 Atwater Ave, Simi Valley, CA 93063 | 2016-09-06 |
| 1700273521 | Jean Barker | Pharmacist | 5984 Yana Court, Simi Valley, CA 93063 | 2015-04-20 |
| 1992197248 | Pamela A. Riss | Marriage & Family Therapist | 2775 Tapo Street, Suite 204, Simi Valley, CA 93063 | 2015-02-24 |
| 1245580729 | Mary Aroyan | Marriage & Family Therapist | 3655 Alamo St Ste 202, Simi Valley, CA 93063 | 2012-09-12 |
| Find all providers in zip 93063 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417976945 | Royal Dean | General Practice | 1687 Erringer Rd Ste 217, Simi Valley, CA 93065-6510 | 2006-07-18 |
| 1922309004 | Royal E Dean Md Medical Corporation | General Practice | 1687 Erringer Rd Ste 217, Simi Valley, CA 93065-6510 | 2010-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | SIMI VALLEY |
| Zip Code | 93063 |
Please comment or provide details below to improve the information on ROSAASEN PHYSICAL MEDICINE INC.
| 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.