Michael R Rose (NPI# 1861593006, PAC ID# 9335176668) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1861593006 |
| PAC ID by PECOS | 9335176668 |
| Professional Enrollment ID | I20100209000695 |
| Full Name | Michael R Rose |
| Organization Legal Name | RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP |
| Address |
2400 N Broadway Los Angeles CA 90031-2218 |
| Phone Number | 3232216121 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4587760749 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2400 N Broadway, Los Angeles, CA 90031-2218 | 3232216121 | RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP |
| Organization Legal Name | RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sydni Glass | Optometry | Retina Institute of California Medical Group | 44815 Fig Ave, Lancaster, CA 93534-3144 |
| Vy Phuong Thi Pham | Optometry | Retina Institute of California Medical Group | 8616 La Tijera Blvd, Suite 102, Los Angeles, CA 90045-3946 |
| Kathy Mao | Optometry | Retina Institute of California Medical Group | 1801 E Tahquitz Canyon Way, Suite 200, Palm Springs, CA 92262-7123 |
| Tarek Alasil | Ophthalmology | Retina Institute of California Medical Group | 44139 Monterey Ave, Suite A, Palm Desert, CA 92260-8700 |
| Sharon M Dyer | Optometry | Retina Institute of California Medical Group | 100 E California Blvd, Pasadena, CA 91105-3205 |
| Anuj Chawla | Ophthalmology | Retina Institute of California Medical Group | 137 S Aspen Ct, Suite C, Visalia, CA 93291-5175 |
| Reid Wainess | Ophthalmology | Retina Institute of California Medical Group | 2400 N Broadway, Los Angeles, CA 90031-2218 |
| Raul Alex Mancilla | Optometry | Retina Institute of California Medical Group | 116 N Plaza St, Brawley, CA 92227-2426 |
| Lisa H Dang | Ophthalmology | Retina Institute of California Medical Group | 3440 Lomita Blvd, Suite 100, Torrance, CA 90505-4810 |
| Jeffrey L Stevens | Ophthalmology | Retina Institute of California Medical Group | 44139 Monterey Ave, Suite A, Palm Desert, CA 92260-8700 |
| Street Address |
2400 N BROADWAY |
| City | LOS ANGELES |
| State | CA |
| Zip | 90031-2218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reid Wainess | Ophthalmology | Retina Institute of California Medical Group | 2400 N Broadway, Los Angeles, CA 90031-2218 |
| Lisa Chea | Optometry | Retina Institute of California Medical Group | 2400 N Broadway, Los Angeles, CA 90031-2218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann K Nguyen | Nurse Practitioner | Arroyo Vista Family Health Foundation | 2411 N Broadway, Arroyo Vista Family Health Center, Los Angeles, CA 90031-2218 |
| Sylvia Rodriguez | Physician Assistant | Unicare Community Health Center Inc | 2409 N Broadway, Los Angeles, CA 90031-2218 |
| Thomas S Lam | Gastroenterology | 2409 N Broadway, Los Angeles, CA 90031-2218 | |
| Tuong Trinh | General Practice | Arroyo Vista Family Health Foundation | 2411 N Broadway, Arroyo Vista Family Health Center, Los Angeles, CA 90031-2218 |
| Natasha L Germain | Physician Assistant | St. John's Well Child and Family Center, Inc. | 2512 Alta St, Los Angeles, CA 90031-2457 |
| Justin M Allen | Nurse Practitioner | St. John's Well Child and Family Center, Inc. | 2512 Alta St, Los Angeles, CA 90031-2457 |
| Mark K Mcdowell | Family Medicine | St. John's Well Child and Family Center, Inc. | 2512 Alta St, Los Angeles, CA 90031-2457 |
| Francisco Bruno Fuscaldo | Internal Medicine | 2926 N Broadway, Los Angeles, CA 90031-2601 | |
| Tomas A Sevilla | Internal Medicine | 2813 N Broadway, Los Angeles, CA 90031-2611 |
| City | LOS ANGELES |
| Zip Code | 90031 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | LOS ANGELES + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.