DR. JOSE ANDRES GONZALEZ ROSADO MD, MBA
NPI 1720780471
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 20, 2023PECOS Enrolled
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 779-7900 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Mar 21, 2023 (2 updates tracked since 2023).

About Dr. Jose Andres Gonzalez Rosado Md, Mba NPPES

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

DR. JOSE ANDRES GONZALEZ ROSADO MD, MBA (NPI 1720780471) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1720780471
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JOSE ANDRES GONZALEZ ROSADOCredential: MD, MBA
Location Address4060 FAIRMOUNT AVESan Diego, CA 92105-1608
Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608 · (619) 779-7900
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1720780471 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.
4060 FAIRMOUNT AVE, San Diego, CA 92105

Secondary Practice Location 1

Location 111750 SW 40th StMiami, FL 33175-3530 · Phone (804) 397-7150

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jose Andres Gonzalez Rosado Md, Mba 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.

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.

Optometrist
4060 FAIRMOUNT AVE, OPTOMETRY DEPARTMENT
SAN DIEGO, CA 92105
Counselor (Mental Health)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Student in an Organized Health Care Education/Training Program
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Internal Medicine
4060 FAIRMOUNT AVE, FAMILY PRACTICE
SAN DIEGO, CA 92105
Psychologist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Social Worker (Clinical)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Pediatrics
4060 FAIRMOUNT AVE, PEDIATRICS DEPARTMENT
SAN DIEGO, CA 92105
Social Worker
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105

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 Jose Gonzalez Rosado's NPI number?

The NPI number for Jose Gonzalez Rosado is 1720780471. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Jose Gonzalez Rosado located?

Jose Gonzalez Rosado practices at 4060 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 779-7900.

What is Jose Gonzalez Rosado's specialty?

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

Is Jose Gonzalez Rosado enrolled in Medicare?

Yes. Jose Gonzalez Rosado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jose Gonzalez Rosado was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.