Organization Active NPI

Paul D. Rosenblit, M.D., Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Huntington Beach, CA
National Provider Identifier
1215215231
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
PAUL D. ROSENBLIT, M.D., INC
Practice address
18821 Delaware St
Suite 202
Huntington Beach, CA 92648-1926
Phone
(714) 375-5572
Fax
(714) 375-5575
NPI assigned
Jul 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Ni Yao
Title
Office Manager/Administration
Phone
(714) 375-5572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

18821 Delaware St
Suite 202
Huntington Beach, CA 92648-1926

Mailing address

18821 Delaware St
Suite 202
Huntington Beach, CA 92648-1926
Phone (714) 375-5572

Other identifiers 1

IdentifierTypeStateIssuer
1699862102OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111013000320 CA Part B Supplier - Clinic/Group Practice 4486826526 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

18821 Delaware St
Ste 202
Huntington Beach, CA 92648
Phone (714) 375-5572

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1215215231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18821 DELAWARE ST",
            "address_2": "SUITE 202",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481926",
            "telephone_number": "714-375-5572",
            "fax_number": "714-375-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18821 DELAWARE ST",
            "address_2": "SUITE 202",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481926",
            "telephone_number": "714-375-5572",
            "fax_number": "714-375-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D. ROSENBLIT, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "YAO",
        "authorized_official_first_name": "NI",
        "authorized_official_title_or_position": "OFFICE MANAGER/ADMINISTRATION",
        "authorized_official_telephone_number": "714-375-5572"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699862102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.