Active NPI
Samuel R Rosenfeld, M.D
- Pediatric Orthopaedic Surgery Physician
- Orange, CA
National Provider Identifier
1235167107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- G37045
- Practice address
- 1310 W Stewart Dr
Suite 508
Orange, CA 92868-3854 - Phone
- (714) 633-2111
- Fax
- (714) 633-5615
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G37045 | CA | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | G37045 | CA | Primary |
Addresses
Primary practice location
1310 W Stewart Dr
Suite 508
Orange, CA 92868-3854
Mailing address
1310 W Stewart Dr
Suite 508
Orange, CA 92868-3854
Phone (714) 633-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ES394Y | Other | CA | INDIVIDUAL PTAN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult and Pediatric Orthopaedic Specialists a Medical Group Inc | Specialist | Current | Accepting new patients |
Locations
25982 Pala
Ste 230
Mission Viejo, CA 92691
Phone (949) 582-0125
1310 W Stewart Dr
Ste 508
Orange, CA 92868
Phone (714) 633-2111
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- samuel.rosenfeld.1@9485.direct.athenahealth.com
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.
-
- Specialist
- Orange, CA
- NPI 1902831514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1235167107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W STEWART DR",
"address_2": "SUITE 508",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683854",
"telephone_number": "714-633-2111",
"fax_number": "714-633-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W STEWART DR",
"address_2": "SUITE 508",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683854",
"telephone_number": "714-633-2111",
"fax_number": "714-633-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENFELD",
"first_name": "SAMUEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G37045",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "CA",
"license": "G37045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "ES394Y",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.