DR. GOWRI REDDY ROCCO M.D.
NPI 1083894075
Family Medicine in Riverside, CA

Active since November 07, 2007Opted out of Medicare · through Oct 1, 2026
11705 SLATE AVE STE 200, RIVERSIDE, CA 92505(949) 375-0224 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gowri Reddy Rocco M.d. NPPES

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

DR. GOWRI REDDY ROCCO M.D. (NPI 1083894075) is an individual family medicine provider in Riverside, California, licensed in California (C52555) and active in the NPI registry since November 2007. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1083894075
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GOWRI REDDY ROCCOCredential: M.D.
Location Address11705 SLATE AVE STE 200Riverside, CA 92505-5199
Mailing Address1643 Zurita CirCorona, CA 92881-8809 · (951) 808-0171
Sole ProprietorNo
Enumeration DateNovember 7, 2007
NPI 1083894075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · C52555
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11705 SLATE AVE STE 200, Riverside, CA 92505

Other Identifiers 2

Medicare PIN086376NJ
Medicare UPINI22572NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Gowri Reddy Rocco M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2020 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2020
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Gowri Rocco's NPI number?

The NPI number for Gowri Rocco is 1083894075. It was assigned to this individual provider in the NPPES registry on November 7, 2007.

Where is Gowri Rocco located?

Gowri Rocco practices at 11705 Slate Ave Ste 200, Riverside, CA 92505. The listed phone number is (949) 375-0224.

What is Gowri Rocco's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gowri Rocco enrolled in Medicare?

No. Gowri Rocco has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Gowri Rocco was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.