NPIMap

Individual provider Active NPI

Evan Rosenbluth, M.D.

  • Obstetrics Physician
  • Orinda, CA
National Provider Identifier
1114114584
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
38404 Issued in IA
Practice address
89 Davis Rd
Suite 280
Orinda, CA 94563-3031
Phone
(925) 973-5802
Fax
(925) 254-7810
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 6360381-1205 UT
Obstetrics Physician 207VX0000X 38404 IA Primary
Reproductive Endocrinology Physician 207VE0102X 38404 IA
Reproductive Endocrinology Physician 207VE0102X A119897 CA

Addresses

Primary practice location

89 Davis Rd
Suite 280
Orinda, CA 94563-3031

Mailing address

100 Park Place
Suite 200
San Ramon, CA 94583
Phone (925) 867-1800

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6360381-1205UTMDObstetrics & Gynecology Physician
A119897CAMDReproductive Endocrinology Physician
38404IAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
John Muir Health Past Accepting new patients
State University of Iowa Past Accepting new patients
Reproductive Science Center of the San Francisco Bay Area Reproductive Endocrinology Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1114114584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK PLACE",
            "address_2": "SUITE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-867-1800",
            "fax_number": "925-275-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 DAVIS RD",
            "address_2": "SUITE 280",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633031",
            "telephone_number": "925-973-5802",
            "fax_number": "925-254-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUTH",
        "first_name": "EVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "6360381-1205",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IA",
            "license": "38404",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IA",
            "license": "38404",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A119897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.