Active NPI
David A Rosenberg, M.D.
- Neurology Physician
- Los Alamitos, CA
National Provider Identifier
1013959097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G42241
- Practice address
- 10941 Bloomfield St Ste a
Los Alamitos, CA 90720-6702 - Phone
- (562) 598-7780
- Fax
- (562) 598-2283
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G42241 | CA | Primary |
Addresses
Primary practice location
10941 Bloomfield St Ste a
Los Alamitos, CA 90720-6702
Mailing address
PO Box 4170
Seal Beach, CA 90740-8170
Phone (562) 598-7780
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100013780001 | Other | BLUE SHIELD OF CA | |
| 199557500 | Other | US DEPT OF LABOR (ASC) | |
| 00G422411 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David a. Rosenberg, M.D., Inc | Specialist | Current | Accepting new patients |
Locations
3771 Katella Ave
Ste 201
Los Alamitos, CA 90720
Phone (562) 534-2606
4281 Katella Ave
Ste 100
Los Alamitos, CA 90720
Phone (562) 598-7780
10941 Bloomfield St
Ste A
Los Alamitos, CA 90720
Phone (562) 596-1667
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Los Alamitos, CA
- NPI 1598887945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1013959097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4170",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907408170",
"telephone_number": "562-598-7780",
"fax_number": "562-598-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10941 BLOOMFIELD ST STE A",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907206702",
"telephone_number": "562-598-7780",
"fax_number": "562-598-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G42241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "100013780001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR (ASC)",
"identifier": "199557500",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G422411",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.