Individual provider Active NPI

Alan Rosenbach, M.D.

  • Dermatology Physician
  • Century City, CA
National Provider Identifier
1164560637
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A46282 Issued in CA
Practice address
2080 Century Park E
#1704
Century City, CA 90067-2001
Phone
(310) 556-5454
NPI assigned
Feb 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A46282 CA Primary
MOHS-Micrographic Surgery Physician 207ND0101X A46282 CA
Procedural Dermatology Physician 207NS0135X A46282 CA

Addresses

Primary practice location

2080 Century Park E
#1704
Century City, CA 90067-2001

Mailing address

2080 Century Park E
#1704
Century City, CA 90067-2001
Phone (310) 556-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041021000435 CA Practitioner - Dermatology 6406817634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alan Rosenbach MD IncGroup PAC ID 1153575469, 2 clinicians

Practice addresses (Care Compare)

2080 Century Park E
Suite 1704
Century City, CA 90067-2020
Phone (310) 556-9545

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions376
Skin biopsy77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A46282CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Rosenbach MD Inc Dermatology CurrentSince Apr 30, 2003 Accepting new patients

Locations

2080 Century Park E
Ste 1704
Los Angeles, CA 90067
Phone (310) 556-5454

Organizations & group practices 1

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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1164560637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "#1704",
            "city": "CENTURY CITY",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-556-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "#1704",
            "city": "CENTURY CITY",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-556-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBACH",
        "first_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A46282",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A46282",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A46282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Century City, CA

Sources for this page

Verify at the official NPI Registry.