De La Rosa Family Vision, PC

Optometrist in Los Angeles, CA. Organization (NPI-2).

NPI number1902561491

StatusActive

Last updated in NPPESNov 15, 2021

Details

NPI: 1902561491
Entity type: Organization (NPI-2)
Legal business name: De La Rosa Family Vision, PC
Organization subpart: No
Enumeration date: Nov 1, 2021
Certification date: Nov 15, 2021
Last updated: Nov 15, 2021

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	–	–	Yes

Practice location

105 1/2 S Vermont Ave
Los Angeles, CA 90004-5904

Phone 213-383-8036 · Fax 213-383-8036

Mailing address

105 1/2 S Vermont Ave
Los Angeles, CA 90004-5904

Phone 213-383-8036 · Fax 213-383-8036

Authorized official

Roxana De La Rosa
Owner
2133830836

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Los Angeles, CA

All 487 Optometrist providers in Los Angeles · All 84,021 providers in Los Angeles

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check