Individual provider Active NPI

Matthew Jared Rosenberg, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Oceanside, CA
National Provider Identifier
1033414669
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA65696 Issued in CA
Practice address
101 Burrows CT
Oceanside, CA 92058-8363
Phone
(910) 581-6624
NPI assigned
Jan 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA65696 CA Primary

Addresses

Primary practice location

101 Burrows CT
Oceanside, CA 92058-8363

Mailing address

22 Area MCMH BLDG 22190
Camp Pendelton, CA 92055
Phone (910) 581-6624

Other practice location 1

41715 Winchester Rd Ste 101
Temecula, CA 92590-4853
Phone (951) 308-4451 ext. 204

Other identifiers 1

IdentifierTypeStateIssuer
1243697340OtherACTIVE DUTY MILITARY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA65696CAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: matthew.rosenberg.1@24997.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1033414669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 AREA MCMH BLDG 22190",
            "city": "CAMP PENDELTON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "910-581-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BURROWS CT",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920588363",
            "telephone_number": "910-581-6624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41715 Winchester Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925904853",
            "country_code": "US",
            "telephone_number": "951-308-4451 x204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "MATTHEW",
        "middle_name": "JARED",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-12",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA65696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACTIVE DUTY MILITARY",
            "identifier": "1243697340",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.