Healthcare Provider Details

I. General information

NPI: 1356391080
Provider Name (Legal Business Name): STEPHEN JAMES ROSSITER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3941 J ST STE 270
SACRAMENTO CA
95819-3633
US

IV. Provider business mailing address

3400 DATA DR
RANCHO CORDOVA CA
95670-7956
US

V. Phone/Fax

Practice location:
  • Phone: 916-733-6850
  • Fax: 916-733-6824
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberG23293
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: