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

Individual provider Internal Medicine Physician · NPI 1629088281

Theodore G Rose, MD is an Internal Medicine in Garden Grove, California. Graduated from Johns Hopkins University School of Medicine in 1971, 55 years ago. Practices with Pathway Medical Group Inc, a 17-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
55
Trained at
Johns Hopkins University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12462 Brookhurst St A & B
Garden Grove, CA 92840
Phone: (716) 636-9852
Fax: (714) 636-1248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A24727 (CA)

Record details

NPI number1629088281
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESAugust 15, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1971 (55 years in practice)
Group practice Pathway Medical Group Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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