1. Home
  2. Directory
  3. California
  4. Long Beach
  5. Internal Medicine
  6. NPI Profile

PEDRO DE LA ROSA MD
NPI 1114940145
Internal Medicine in Long Beach, CA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
3816 WOODRUFF AVE, SUITE 412, LONG BEACH, CA 90808(562) 377-1111 Get Directions Write a Review

NPPES record last updated: September 7, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pedro De La Rosa Md NPPES

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

PEDRO DE LA ROSA MD (NPI 1114940145) is an individual internal medicine provider in Long Beach, California, licensed in California (G46457) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1980).

NPPES Registry Identity

NPI1114940145
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePEDRO DE LA ROSACredential: MD
Location Address3816 WOODRUFF AVE, SUITE 412Long Beach, CA 90808-2147
Mailing Address3816 Woodruff Ave, Suite 412Long Beach, CA 90808-2147
Phone(562) 377-1111
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1980
Enumeration DateJuly 25, 2006
Last NPPES UpdateSeptember 7, 2007
✔ NPI 1114940145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G46457
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3816 WOODRUFF AVE, Long Beach, CA 90808
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINE02667

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pedro De La Rosa 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 ID648307348
PECOS Enrollment IDI20100429000470
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Pedro De La Rosa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prohealth Partners, A Medical Group, Inc
Same address
Family Medicine
3840 WOODRUFF AVE STE 202
Long Beach, CA 90808
  • Reassigned Medicare billing, California enrollment
  • 279 clinicians in this Medicare group
NPI 1477685436 (562) 296-5528
Careconnectmd Ca PC
17 mi
Family Medicine
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
  • Reassigned Medicare billing, California enrollment
  • 194 clinicians in this Medicare group
NPI 1366063125 (888) 789-9585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
257 services118 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
194 services27 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
143 services20 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
132 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
79 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90808 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers20 claims39 services$4.90 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers12 claims12 services$34.80 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers14 claims81 services$15.84 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers14 claims14 services$48.31 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers17 claims94 services$1.83 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers20 claims20 services$26.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MARJORIE J KHAWAM DPM
Podiatrist
3816 WOODRUFF AVE, STE 302
LONG BEACH, CA 90808
Los Angeles County (562) 429-5300
MR. LAWRENCE JAY ZIPSER P.T.
Physical Therapist
3816 WOODRUFF AVE, #407
LONG BEACH, CA 90808
Los Angeles County (562) 425-9888
CHYNEL HENNING M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3816 WOODRUFF AVE, STE 104
LONG BEACH, CA 90808
Los Angeles County (562) 377-0389
LAWRENCE J. ZIPSER, P.T., INC.
Physical Therapist
3816 WOODRUFF AVE, #407
LONG BEACH, CA 90808
Los Angeles County (562) 425-9888
SRIVIDYA VENKATARAMAN M.D.
Family Medicine
3816 WOODRUFF AVE, #406
LONG BEACH, CA 90808
Los Angeles County (562) 497-9314
GERALD W. MILLER, MD A PROFFESSIONAL CORP
Family Medicine
3816 WOODRUFF AVE, SUITE 312
LONG BEACH, CA 90808
Los Angeles County (562) 377-6303
KASSIDY WILLIAMS PA-C
Physician Assistant
3816 WOODRUFF AVE
LONG BEACH, CA 90808
Los Angeles County (562) 485-5550
DAVID JENKINS
Hearing Instrument Specialist
3816 WOODRUFF AVE, SUITE 411
LONG BEACH, CA 90808
Los Angeles County (562) 606-1033

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 Pedro De La Rosa's NPI number?

The NPI number for Pedro De La Rosa is 1114940145. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Pedro De La Rosa located?

Pedro De La Rosa practices at 3816 Woodruff Ave Suite 412, Long Beach, CA 90808. The listed phone number is (562) 377-1111.

What is Pedro De La Rosa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pedro De La Rosa enrolled in Medicare?

Yes. Pedro 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.

Which organizations bill Medicare for Pedro De La Rosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro De La Rosa reassigns Medicare benefits to 2 organizations: Prohealth Partners, A Medical Group, Inc (Long Beach, CA) and Careconnectmd Ca PC (Costa Mesa, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pedro De La Rosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pedro De La Rosa was last updated on September 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.