Organization Active NPI

Dale M. Rosenblum, DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Fullerton, CA
National Provider Identifier
1083870315
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E1472 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Dr. Dale M Rosenblum, DPMNPI 1144211889
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0281760001OtherCANSC

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.