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NPI Code Detail

MEDICARE: CARL ROSSI M.D.

MEDICARE: CARL ROSSI 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
12085R0001XRadiation Oncology PhysicianG66352CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518983055
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL ROSSI M.D.
Provider Business Mailing Address
First Line : 9730 SUMMERS RIDGE RD
Second Line : SCRIPPS PROTON THERAPY CENTER
City : SAN DIEGO
State : CA
Zip : 92121-3101
Country : US
Telephone Number : 858-549-7522
Fax Number :
Provider Business Practice Location Address
First Line : 9730 SUMMERS RIDGE RD
Second Line : SCRIPPS PROTON THERAPY CENTER
City : SAN DIEGO
State : CA
Zip : 92121-3101
Country : US
Telephone Number : 858-549-7522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2006
Last Update Date : 05/14/2014

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