Active NPI
Philip S. Rosen, D.C.
- Orthopedic Chiropractor
- Tarzana, CA
National Provider Identifier
1174530687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- DC23970
- Practice address
- 18344 Clark St
Tarzana, CA 91356-3505 - Phone
- (818) 708-0740
- Fax
- (818) 708-7902
- NPI assigned
- Aug 1, 2006
- 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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | DC23970 | CA | Primary |
Addresses
Primary practice location
18344 Clark St
Tarzana, CA 91356-3505
Mailing address
18344 Clark St.
Suite 205
Tarzana, CA 91356
Phone (818) 708-0740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC23970 | Other | CA | LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC23970 | CA | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Layton Chiropractic Inc | Past | Accepting new patients |
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.
-
- Chiropractor
- Tarzana, CA
- NPI 1134079551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174530687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18344 CLARK ST.",
"address_2": "SUITE 205",
"city": "TARZANA",
"state": "CA",
"postal_code": "91356",
"telephone_number": "818-708-0740",
"fax_number": "818-708-7902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18344 CLARK ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563505",
"telephone_number": "818-708-0740",
"fax_number": "818-708-7902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "PHILIP",
"middle_name": "S.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "DC23970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "DC23970",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.