Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Richard K.t. Rose, MD

Individual provider Orthopaedic Surgery Physician · NPI 1053380634

Dr. Richard K.t. Rose, MD is an Orthopedic Surgery in Fontana, California. Graduated from New York Medical College in 1998, 28 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Hawaii.

Years since qualifying
28
Trained at
New York Medical College
Licensed in
CA, HI
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9961 Sierra Ave Mob # 3
Fontana, CA 92335-6720
Phone: (909) 427-4549
Fax: (909) 427-7086
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence A71631 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD12937 (HI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence A71631 (CA)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence MD12937 (HI)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence MD12937 (HI)
Orthopaedic Trauma Physician Taxonomy 207XX0801X · Licence MD12937 (HI)

Record details

NPI number1053380634
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESDecember 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1998 (28 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fontana