Individual provider Active NPI

Steven L Rosenblatt, M.D.

  • Specialist
  • San Bernardino, CA
National Provider Identifier
1134142201
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A53639 Issued in CA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53639CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare and Supplies Current Accepting new patients
First Care Medical Group Inc. CurrentSince Jul 24, 2022 Accepting new patients
Msji Home Inc Past Accepting new patients
Dr. Steven Rosenblatt PastSince Apr 23, 2012 Accepting new patients
Verdugo Multi-Specialty Medical Group, Inc. Multi-Specialty PastSince Mar 1, 2020 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.

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.

Verify at the official NPI Registry.