IVAN W ROSEN M.D. NPI 1588687255

NPI Information

NPI: 1588687255
Provider Name: IVAN W ROSEN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1115 S SUNSET AVE
WEST COVINA, CA
ZIP 91790
Phone: (626) 814-2540
Get Directions

Ivan W Rosen, M.D. is a diagnostic radiology radiology in West Covina, CA with 64 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Ivan W Rosen, M.D. NPI is 1588687255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:1960

The provider's business location address is:

1115 S SUNSET AVE
WEST COVINA, CA
ZIP 91790-940
Phone: (626) 814-2540
Fax: (626) 814-2540

The NPI 1588687255 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 7/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	C24928	CALIFORNIA	No
2	2085N0700X	Radiology	Neuroradiology	C24928	CALIFORNIA	No
3	2085N0904X	Radiology	Nuclear Radiology	C24928	CALIFORNIA	No
4	2085P0229X	Radiology	Pediatric Radiology	C24928	CALIFORNIA	No
5	2085R0203X	Radiology	Therapeutic Radiology	C24928	CALIFORNIA	No
6	2085R0204X	Radiology	Vascular & Interventional Radiology	C24928	CALIFORNIA	No
7	2085U0001X	Radiology	Diagnostic Ultrasound	C24928	CALIFORNIA	No
8	2085R0202X	Radiology	Diagnostic Radiology	C24928	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00C249280	OTHER	CALIFORNIA	BSBC
2	TD006	MEDICARE PIN	CALIFORNIA
3	WC24928A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	PPIN
4	W11983	MEDICARE PIN	CALIFORNIA
5	A88822	MEDICARE UPIN	CALIFORNIA
6	00C249280	MEDICAID	CALIFORNIA
7	TP035	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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