DR. JAVIER DE LA ROSA JR. MD
NPI 1033798780
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment
9961 SIERRA AVE, FONTANA, CA 92335(833) 574-2273 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2021, Apr 7, 2021 (2 updates tracked since 2021).

About Dr. Javier De La Rosa Jr. Md NPPES

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

DR. JAVIER DE LA ROSA JR. MD (NPI 1033798780) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2021).

NPPES Registry Identity

NPI1033798780
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JAVIER DE LA ROSA JR.Credential: MD
Location Address9961 SIERRA AVEFontana, CA 92335-6720
Mailing Address9961 Sierra AveFontana, CA 92335-6720
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2021
Enumeration DateApril 7, 2021
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
NPI 1033798780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9961 SIERRA AVE, Fontana, CA 92335

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Javier De La Rosa Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092152082
PECOS Enrollment IDI20240326003515
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.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335
Pediatrics
9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
Dietitian, Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Anesthetist, Certified Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
Family Medicine
9961 SIERRA AVE
FONTANA, CA 92335

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 Javier De La Rosa's NPI number?

The NPI number for Javier De La Rosa is 1033798780. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Javier De La Rosa located?

Javier De La Rosa practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (833) 574-2273.

What is Javier De La Rosa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Javier De La Rosa enrolled in Medicare?

Yes. Javier De La Rosa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Javier De La Rosa was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.