Andrea Ryan Rosenberg, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

20080 Issued in CA

Practice address

2258 Santa Clara Ave Ste 1
Alameda, CA 94501-4473

Phone

(510) 814-6900

NPI assigned

Jun 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Annie R Rosenberg Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1407691512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E PIER",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949653141",
            "telephone_number": "415-302-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 SANTA CLARA AVE STE 1",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014473",
            "telephone_number": "510-814-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ANDREA",
        "middle_name": "RYAN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "20080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "ROSENBERG",
            "middle_name": "R",
            "credential": "LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brenda Rosas-Medina
• Jay Rose
• Judy L Rose, LCSW
• Lisa Hermann Rose, LMFT
• Dina Rosen, M.D.
• Jacqueline Rosenberg
• Rosewood Integrative Mental Health, a Professional Nursing Corporation
• Adriana Ross
• Terria Ross
• Marco Rini Rotting, MSW/ASW

• Acupuncturist in Alameda, CA
• Providers in Alameda, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.