Individual provider Active NPI

Gordon S Rosenberg, MD

  • Obstetrics & Gynecology Physician
  • Los Gatos, CA
National Provider Identifier
1306806922
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G65167 Issued in CA
Practice address
15151 National Ave
Los Gatos, CA 95032-2627
Phone
(408) 356-0431
Fax
(408) 358-1602
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G65167 CA Primary

Addresses

Primary practice location

15151 National Ave
Los Gatos, CA 95032-2627

Mailing address

15151 National Ave
Los Gatos, CA 95032-2627
Phone (408) 356-0431

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
I20100716000543 CA Practitioner - Obstetrics/Gynecology 0840291407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

15151 National Ave
Suite 1
Los Gatos, CA 95032-2698
Phone (408) 356-0431

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G65167CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance Obstetrics & Gynecology CurrentSince Jul 1, 2015 Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

15195 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0431

15151 National Ave
Ste 1
Los Gatos, CA 95032
Phone (408) 294-8122

15151 National Ave
Los Gatos, CA 95032
Phone (408) 356-0431

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

Interoperability endpoints

  • Direct secure messaging: grosenberg144526@direct.stanfordhealthcare.org

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306806922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15151 NATIONAL AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322627",
            "telephone_number": "408-356-0431",
            "fax_number": "408-358-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15151 NATIONAL AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322627",
            "telephone_number": "408-356-0431",
            "fax_number": "408-358-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "GORDON",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G65167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.