MEDICARE: STEPHEN JAMES ROSSITER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	G23293	CA

General Provider Information

NPI Number	:	1356391080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN JAMES ROSSITER M.D.

Provider Business Mailing Address
First Line	:	3400 DATA DR
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95670-7956
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3941 J ST STE 270
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-3633
Country	:	US
Telephone Number	:	916-733-6850
Fax Number	:	916-733-6824

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	08/21/2025

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Directions to “ STEPHEN JAMES ROSSITER M.D.” Practice Location

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