ROSE EYE MEDICAL (NPI# 1972722932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972722932 |
| Entity Type | Organization |
| Organization Name | ROSE EYE MEDICAL |
| Other Organization Name | SOUTH COAST EYE INSTITUTE |
| Practice Address |
3420 Bristol St Suite 700 Costa Mesa CA 92626-7170 |
| Practice Telephone | 7149570273 |
| Mailing Telephone | 7142727303 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL R ROSE (PRESIDENT) |
| Authorized Official Telephone | 3232216121 |
| Authorized Official Credential | G33914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G33914 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0014311 | 05 |
| Other Name | Type Code |
|---|---|
| South Coast Eye Institute | Other Name - Individual/Organization |
| Street Address |
3420 BRISTOL ST SUITE 700 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-7170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841736089 | Integrative Health Services, Inc | Specialist | 3420 Bristol St, Suite 205, Costa Mesa, CA 92626-7170 | 2017-01-11 |
| 1902207806 | Newport Care Medical Group Inc | Chiropractor | 3420 Bristol St, Suite 700, Costa Mesa, CA 92626-7170 | 2014-09-10 |
| 1306267554 | Newport Neurospine Specialists Apc | Neurological Surgery | 3420 Bristol St, Suite 700, Costa Mesa, CA 92626-7170 | 2013-12-13 |
| 1124314281 | Surgery Center At South Coast Plaza | Clinic/Center | 3420 Bristol St, Suite 701, Costa Mesa, CA 92626-7170 | 2011-06-27 |
| 1932413176 | South Coast Specialty Surgery Center, Inc. | Clinic/Center | 3420 Bristol St, Suite 750, Costa Mesa, CA 92626-7170 | 2010-07-29 |
| 1487976635 | Vision Link Inc | Ophthalmology | 3420 Bristol St, Suite 700, Costa Mesa, CA 92626-7170 | 2010-02-15 |
| 1184950073 | South Coast Surgical Care, Inc. | Clinic/Center | 3420 Bristol St, Suite 750, Costa Mesa, CA 92626-7170 | 2009-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649755406 | Ashlee Cullen | Specialist | 1565 Adams Ave Ste 138, Costa Mesa, CA 92626-3814 | 2018-09-27 |
| 1124498902 | Theresa Anne Marie Sniadowski | Specialist | 245 Fischer Ave Ste A2, Costa Mesa, CA 92626-4536 | 2015-10-06 |
| 1538565072 | Multimedrx | Specialist | 1503 S Coast Dr Ste 100, Costa Mesa, CA 92626-1526 | 2014-11-11 |
| 1134540388 | George Sumiya Nakai | Specialist | 2784 Bluebird Cir, Costa Mesa, CA 92626-4832 | 2013-12-13 |
| 1538355912 | On Center Conditioning Body, Arts, and Sciences | Specialist | 485 E 17th St Ste 650, Costa Mesa, CA 92627-4706 | 2007-09-19 |
| 1851448757 | Mothers and Daughters Center, Inc. | Specialist | 720 Paularino Avenue, Suite 240, Costa Mesa, CA 92626-6290 | 2007-01-04 |
| 1508947243 | Scott Stewart Ferer | Specialist | 2216 Newport Blvd, Costa Mesa, CA 92627-1711 | 2006-10-18 |
| 1356430482 | Ortho Shock Wave Therapy, Inc. | Specialist | 3636 Harbor Blvd, H2, Costa Mesa, CA 92626 | 2006-10-12 |
| 1669418794 | Carlos Xavier Montano | Specialist | 1545 Nutmeg Place, Costa Mesa, CA 92626-2525 | 2006-06-20 |
| 1427007277 | Elham Taeed | Specialist | 2301 Newport Blvd, Costa Mesa, CA 92627-1516 | 2006-05-09 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on ROSE EYE MEDICAL.
| 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.