Active NPI
Steven L Rosenblatt, M.D.
- Specialist
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A53639
- Practice address
- 1655 N Mount Vernon Ave Ste B1
San Bernardino, CA 92411-1427 - Phone
- (909) 586-6260
- Fax
- (909) 586-6262
- NPI assigned
- Jul 26, 2006
- Last updated
- Aug 16, 2017
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A53639 | CA | Primary |
Addresses
Primary practice location
1655 N Mount Vernon Ave Ste B1
San Bernardino, CA 92411-1427
Mailing address
11600 Wilshire Blvd
Suite 320
Los Angeles, CA 90025-1783
Phone (310) 559-8276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53639 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Healthcare and Supplies | Current | Accepting new patients | |
| First Care Medical Group Inc. | Current | Accepting new patients | |
| Msji Home Inc | Past | Accepting new patients | |
| Dr. Steven Rosenblatt | Past | Accepting new patients | |
| Verdugo Multi-Specialty Medical Group, Inc. | Multi-Specialty | Past | Accepting new patients |
| Michael C Daignault MD PC | General Practice | Past | Accepting new patients |
| All Back & Joint Care Medical Group | Past | Accepting new patients |
Locations
11600 Wilshire Blvd
Ste 320
Los Angeles, CA 90025
Phone (310) 444-2911
1655 N Mount Vernon Ave
Ste B1
San Bernardino, CA 92411
Phone (909) 586-6260
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1134142201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11600 WILSHIRE BLVD",
"address_2": "SUITE 320",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251783",
"telephone_number": "310-559-8276",
"fax_number": "310-559-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 N MOUNT VERNON AVE STE B1",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924111427",
"telephone_number": "909-586-6260",
"fax_number": "909-586-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBLATT",
"first_name": "STEVEN",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A53639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.