Rebecca Pfeifer-Rosenblum

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95015252 Issued in CA

Practice address

5939 Sutter Ave
Richmond, CA 94804-5260

Phone

(510) 417-5851

NPI assigned

Sep 7, 2020

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lifelong Medical Care

  • Geriatric Medicine (Family Medicine) Physician
  • Berkeley, CA
  • NPI 1689670002
  Medicare reassignment NPD
• Ritter Center

  • Federally Qualified Health Center (FQHC)
  • San Rafael, CA
  • NPI 1417370032
  Medicare reassignment NPD
• Lifelong Medical Care

  • Family Medicine Physician
  • Rodeo, CA
  • NPI 1003289463
  NPD

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1598379596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 SUTTER AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948045260",
            "telephone_number": "510-417-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 SUTTER AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948045260",
            "telephone_number": "510-417-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFER-ROSENBLUM",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Perry
• Masonya Amber Petersen
• Philip Dikes Peterson
• Vanessa G. Pettit
• Susanna Pfeffer, DA
• Kathy Pham
• Jennifer Phan
• Koy T Phan, 101YM0800X
• Marianne Philippek, RN.FNP.MSN
• Theresa Phillips, PHD

• Family Nurse Practitioner in Richmond, CA
• Providers in Richmond, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.

Verify at the official NPI Registry.