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JUDITH G ROSE MD NPI 1982645131


NPI Information

NPI: 1982645131
Provider Name: JUDITH G ROSE, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1516 COTNER AVE
LOS ANGELES, CA
ZIP 90025
Phone: (310) 445-2951
Get Directions

Judith G Rose, MD is a diagnostic radiology radiology in Los Angeles, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Judith G Rose, MD NPI is 1982645131. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1516 COTNER AVE
LOS ANGELES, CA
ZIP 90025-303
Phone: (310) 445-2951
Fax: (310) 479-1459

The NPI 1982645131 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 6/9/2006 and was last updated on 2/10/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207U00000XNuclear MedicineG36279CALIFORNIANo
22085R0202XRadiologyDiagnostic RadiologyG36279CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0106039MEDICAIDCALIFORNIA
200G362791MEDICARE PINCALIFORNIA
300G362796MEDICARE PINCALIFORNIA
4WG36279FMEDICARE PINCALIFORNIA
5WG36279JMEDICARE PINCALIFORNIA
600G362793MEDICARE PINCALIFORNIA
7WG36279MMEDICARE PINCALIFORNIA
8WG36279PMEDICARE PINCALIFORNIA
900G362790MEDICAIDCALIFORNIA
1000G362795MEDICARE PINCALIFORNIA
11WG36279AMEDICARE PINCALIFORNIA
1200G3627910MEDICARE PINCALIFORNIA
13WG36279CMEDICARE PINCALIFORNIA
14WG36279QMEDICARE PINCALIFORNIA
15WG36279NMEDICARE PINCALIFORNIA
1600G362792MEDICARE PIN
17AO791YMEDICARE PINCALIFORNIA
1800G362790OTHERCALIFORNIABLUE SHIELD
19A46629MEDICARE UPINCALIFORNIA
2000G362790MEDICARE PINCALIFORNIA
21AO719ZMEDICARE PINCALIFORNIA
22WG36279KMEDICARE PINCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.