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ROXANA GILDA DE LA ROSA O.D.
NPI 1003048588
Optometrist in Los Angeles, CA

Active since August 17, 2009PECOS Enrolled
105 1/2 S VERMONT AVE, LOS ANGELES, CA 90004(213) 383-8036 Get Directions Write a Review

NPPES record last updated: April 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roxana Gilda De La Rosa O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROXANA GILDA DE LA ROSA O.D. (NPI 1003048588) is an individual optometrist in Los Angeles, California, licensed in California (13835) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003048588
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameROXANA GILDA DE LA ROSACredential: O.D.
Location Address105 1/2 S VERMONT AVELos Angeles, CA 90004-5904
Mailing Address1652 S Berendo StLos Angeles, CA 90006-4411 · (323) 734-5307
Phone(213) 383-8036
Sole ProprietorYes
Enumeration DateAugust 17, 2009
Last NPPES UpdateApril 2, 2013
✔ NPI 1003048588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 13835
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
105 1/2 S VERMONT AVE, Los Angeles, CA 90004
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roxana Gilda De La Rosa O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CESAR M EGUEZ OD
Optometrist
105 1/2 S VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 383-8036
DE LA ROSA FAMILY VISION, PC
Optometrist
105 1/2 S VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 383-8036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roxana De La Rosa's NPI number?

The NPI number for Roxana De La Rosa is 1003048588. It was assigned to this individual provider in the NPPES registry on August 17, 2009.

Where is Roxana De La Rosa located?

Roxana De La Rosa practices at 105 1/2 S Vermont Ave, Los Angeles, CA 90004. The listed phone number is (213) 383-8036.

What is Roxana De La Rosa's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Roxana De La Rosa enrolled in Medicare?

Yes. Roxana De La Rosa is registered in the Medicare PECOS enrollment system.

What insurance does Roxana De La Rosa accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Roxana De La Rosa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roxana De La Rosa was last updated on April 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.