Active NPI
Dale M. Rosenblum, DPM Inc
- Foot & Ankle Surgery Podiatrist
- Fullerton, CA
National Provider Identifier
1083870315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E1472
- Legal business name
- DALE M. ROSENBLUM, DPM INC
- Practice address
- 704 N Harbor Blvd
Fullerton, CA 92832-1520 - Phone
- (714) 525-8282
- Fax
- (714) 525-0141
- NPI assigned
- Aug 6, 2008
- Last updated
- Aug 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dale M Rosenblum, DPM
- Title
- Owner/President
- Phone
- (714) 525-8282
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E1472 | CA | Primary |
Addresses
Primary practice location
704 N Harbor Blvd
Fullerton, CA 92832-1520
Mailing address
704 N Harbor Blvd
Fullerton, CA 92832-1520
Phone (714) 525-8282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0281760001 | Other | CA | NSC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Fullerton, CA
- NPI 1144211889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217980800000",
"number": "1083870315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 N HARBOR BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321520",
"telephone_number": "714-525-8282",
"fax_number": "714-525-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 N HARBOR BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321520",
"telephone_number": "714-525-8282",
"fax_number": "714-525-0141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALE M. ROSENBLUM, DPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-06",
"last_updated": "2008-08-06",
"status": "A",
"authorized_official_last_name": "ROSENBLUM",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "714-525-8282",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E1472",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC",
"identifier": "0281760001",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.