Dr. Richard K.t. Rose
Orthopaedic Surgeon Orthopaedic Trauma Surgeon Sports Medicine Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon and 2 more
9961 Sierra Ave Mob # 3
Fontana
, California 92335-6720
Dr. Richard K.t. Rose
Orthopaedic Surgeon Orthopaedic Trauma Surgeon Sports Medicine Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon and 2 more
9961 Sierra Ave Mob # 3
Fontana
, California 92335-6720
(909) 427-7086
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
- Orthopaedic Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Richard K.t. Rose
- 9961 Sierra Ave Mob #3
- Fontana, CA
- Zip : 92335-6720
- Fax : (909) 427-7086
- Phone : (909) 427-5611
Second Address
- Dr. Richard K.t. Rose
- 9961 Sierra Ave Mob # 3
- Fontana, CA
- Zip : 92335-6720
- Fax : (909) 427-7086
- Phone : (909) 427-4549
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FAQs
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Does Dr. Richard K.t. Rose have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | A71631 | CA |
| N | 207X00000X | Orthopaedic Surgeon | MD12937 | HI |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A71631 | CA |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD12937 | HI |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD12937 | HI |
| N | 207XX0801X | Orthopaedic Trauma Surgeon | MD12937 | HI |
National Provider Identifier
| NPI | 1053380634 |
|---|---|
| Provider Name | Dr. Richard K.t. Rose |
| First Address | Fontana, CA 92335-6720 |
| Second Address | Fontana, CA 92335-6720 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2006 |
| Last Update Date | 02/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 084813001 | DMERC (01) | HI |
| 247361 | HMSA (01) | HI |
| 56682001 | (05) | HI |
| I20827 | (02) | HI |
| MD12937-01 | QUEENSHEALTHCARE/MDX (01) | HI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.