Active NPI
Daniel Rosengart
- Counselor
- Pleasanton, CA
National Provider Identifier
1376896548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 6666 Owens Dr
Pleasanton, CA 94588-3334 - Phone
- (917) 757-5377
- NPI assigned
- Oct 24, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
6666 Owens Dr
Pleasanton, CA 94588-3334
Mailing address
6666 Owens Dr
Pleasanton, CA 94588-3334
Phone (917) 757-5377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94-2232394 | Other | COMMUNITY HEALTH CENTER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axis Community Health 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.
-
- Federally Qualified Health Center (FQHC)
- Livermore, CA
- NPI 1336990506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1376896548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6666 OWENS DR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945883334",
"telephone_number": "917-757-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6666 OWENS DR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945883334",
"telephone_number": "917-757-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENGART",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-24",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH CENTER",
"identifier": "94-2232394",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.