Individual provider Active NPI

Aaron Madison Rosen, M.D.

  • Obstetrics & Gynecology Physician
  • Manhattan Beach, CA
National Provider Identifier
1285015313
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A160663 Issued in CA
Practice address
1200 Rosecrans Ave Ste 104
Manhattan Beach, CA 90266-2470
Phone
(310) 726-9072
Fax
(310) 726-9072
NPI assigned
Jun 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 125.066546 IL
Obstetrics & Gynecology Physician 207V00000X A160663 CA Primary

Addresses

Primary practice location

1200 Rosecrans Ave Ste 104
Manhattan Beach, CA 90266-2470

Mailing address

1200 Rosecrans Ave Ste 104
Manhattan Beach, CA 90266-2470
Phone (310) 726-9072

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
I20230614001509 CA Practitioner - Obstetrics/Gynecology 8820456460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg California PCGroup PAC ID 8729276795, 94 clinicians

Practice addresses (Care Compare)

18321 Clark St
Tarzana, CA 91356-3501
Phone (800) 967-2289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160663CAMDObstetrics & Gynecology Physician
125.066546ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince May 1, 2023 Accepting new patients

Locations

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1285015313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE STE 104",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662470",
            "telephone_number": "310-726-9072",
            "fax_number": "310-726-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE STE 104",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662470",
            "telephone_number": "310-726-9072",
            "fax_number": "310-726-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "AARON",
        "middle_name": "MADISON",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125.066546",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A160663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.