Active NPI
David a. Rosenberg, M.D., Inc
- Specialist
- Los Alamitos, CA
National Provider Identifier
1598887945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G42241
- Legal business name
- DAVID A. ROSENBERG, M.D., INC
- Practice address
- 10941 Bloomfield St
Los Alamitos, CA 90720-2530 - Phone
- (562) 598-7780
- Fax
- (562) 598-7780
- NPI assigned
- Apr 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David A Rosenberg, M.D.
- Title
- Owner
- Phone
- (562) 598-7780
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G42241 | CA | Primary |
Addresses
Primary practice location
10941 Bloomfield St
Los Alamitos, CA 90720-2530
Mailing address
PO Box 4170
Seal Beach, CA 90740-8170
Phone (562) 598-7780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G422411 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4281 Katella Ave
Ste 100
Los Alamitos, CA 90720
Phone (562) 598-7780
3771 Katella Ave
Ste 201
Los Alamitos, CA 90720
Phone (562) 534-2606
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629244800000",
"number": "1598887945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4170",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907408170",
"telephone_number": "562-598-7780",
"fax_number": "562-598-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10941 BLOOMFIELD ST",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202530",
"telephone_number": "562-598-7780",
"fax_number": "562-598-7780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A. ROSENBERG, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-05",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A",
"authorized_official_last_name": "ROSENBERG",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-598-7780",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G42241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G422411",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.