SOUTHGATE ROSE PHARMACY INC (NPI# 1528144664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528144664 |
| Entity Type | Organization |
| Organization Name | SOUTHGATE ROSE PHARMACY INC |
| Other Organization Name | BLUEROSE PHARMACY |
| Practice Address |
8615 Knott Ave Suite #7 Buena Park CA 90620-3841 |
| Practice Telephone | 7149524978 |
| Practice Fax Number | 7149524978 |
| Mailing Telephone | 7149524978 |
| Mailing Fax Number | 7149524978 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ROSSMARI R RAMOS-ZAMORA (CEO) |
| Authorized Official Telephone | 7149536861 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
PHY47605 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHARMACY PERMIT | PHY47605 | 01 |
| Other Name | Type Code |
|---|---|
| BLUEROSE PHARMACY | Doing Business As Name - Organization |
| Street Address |
8615 KNOTT AVE SUITE #7 |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90620-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396756805 | South Gate Rose Phcy Inc | Pharmacy | 8615 Knott Ave, Ste 7, Buena Park, CA 90620-3841 | 2006-08-10 |
| 1255672713 | Hana Medical Group Inc | Non-Pharmacy Dispensing Site | 8615 Knott Ave, Suite 3, Buena Park, CA 90620-3841 | 2013-03-08 |
| 1912022641 | Leonidas A Johnson | Optometrist | 8615 Knott Ave, Suite 9, Buena Park, CA 90620-3800 | 2007-03-20 |
| 1043358211 | Maria Lovell Degoma Denolo-chavez | Dentist | 8615 Knott Ave, Suite 1, Buena Park, CA 90620-3841 | 2007-02-01 |
| 1497819346 | Kirstin Walsh | Occupational Therapist | 8615 Knott Ave, Suite 8, Buena Park, CA 90620-3841 | 2006-12-21 |
| 1932263878 | Allan Bautista | Physical Therapist | 8615 Knott Ave, Suite 8, Buena Park, CA 90620-3841 | 2006-12-21 |
| 1235293176 | Gail Ballon | Physical Therapist | 8615 Knott Ave, Suite 8, Buena Park, CA 90620-3841 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889110 | Soon Ae Yoon | Acupuncturist | 8600 Beach Blvd. #104, Buena Park, CA 90620 | 2019-12-27 |
| 1649755380 | Rosemary Lynn Nielsen | Social Worker | 1850 Knott Ave, Buena Park, CA 90620 | 2018-09-28 |
| 1730608118 | Arpita Bhavsar | Pharmacist | 7072 Santa Marta Circle, Buena Park, CA 90620 | 2017-09-16 |
| 1740715663 | Gabriela Peinado | Assistant Behavior Analyst | 8669 Holder St, Buena Park, CA 90620 | 2017-04-28 |
| 1679958862 | Aum Pharmacy Corporation | Pharmacy | 6970 Aragon Circle, # 3, Buena Park, CA 90620 | 2015-07-29 |
| 1457600330 | Daniel D. Chung Dds Inc | Dentist | 8884 Knott Ave., Buena Park, CA 90620 | 2012-09-06 |
| 1942531447 | Baltazar Mendoza | Dental Assistant | 7691 El Chaco Drive, Buena Park, CA 90620 | 2010-01-22 |
| 1760509947 | Marcela Torralba Espiritu | Dentist | 7540 Orangethorpe Ave, C4, Buena Park, CA 90620 | 2007-03-23 |
| 1508924457 | Randall Tay Kanemaki | Dentist | 8751 Valley View Street, Suite B, Buena Park, CA 90620 | 2006-12-04 |
| 1346338282 | J and P Homes Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6891 San Pedro Circle, Buena Park, CA 90620 | 2006-10-10 |
| Find all providers in zip 90620 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440276 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 301 N Prairie Ave Ste 611, Inglewood, CA 90301-4513 | 2019-07-24 |
| 1205490802 | Iradj Nazarian Md | Clinic/Center | 5043 Whittier Blvd, Los Angeles, CA 90022-3116 | 2019-04-29 |
| 1437632742 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 43845 10th St W Ste 1e, Lancaster, CA 93534-4800 | 2018-09-12 |
| 1245738194 | Soheil Lahijani M.d., A Medical Corporation | Clinic/Center | 1113 Alta Ave Ste 105, Upland, CA 91786-2803 | 2018-01-25 |
| 1093236986 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 4922 Whittier Blvd, East Los Angeles, CA 90022-1111 | 2017-06-29 |
| 1700312642 | A1 Transportation Inc | Clinic/Center | 7247 Dustin Allan Ln, Van Nuys, CA 91405-2197 | 2017-05-11 |
| 1699156331 | Oakridge Inn Rcfe LLC. | Clinic/Center | 1281 Oakridge Dr, Glendale, CA 91205-3412 | 2015-06-17 |
| 1801205703 | Lew Medical | Clinic/Center | 960 Honeywood Ln, La Habra, CA 90631-6921 | 2014-08-05 |
| 1144564527 | Banj Health Center, Inc. | Clinic/Center | 3620 Mlk Jr Blvd, Lynwood, CA 90262-2607 | 2012-11-25 |
| 1306180195 | Genghong Liu IIi | Clinic/Center | 39156 State St, Fremont, CA 94538-1436 | 2012-11-16 |
| Find all providers with the same taxonomy | ||||
| City | BUENA PARK |
| Zip Code | 90620 |
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| 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.