Active NPI
Daniel I. Rosenbaum, MD
- Ophthalmology Physician
- Los Alamitos, CA
National Provider Identifier
1619198702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- GFE27444
- Practice address
- 3801 Katella Ave Ste 130
Los Alamitos, CA 90720-3362 - Phone
- (949) 497-5811
- Fax
- (949) 497-5811
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | GFE27444 | CA | Primary |
Addresses
Primary practice location
3801 Katella Ave Ste 130
Los Alamitos, CA 90720-3362
Mailing address
688 Mystic VW
Laguna Beach, CA 92651-1921
Phone (949) 497-5811
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GFE27444 | CA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619198702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "688 MYSTIC VW",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926511921",
"telephone_number": "949-497-5811",
"fax_number": "949-497-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 KATELLA AVE STE 130",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203362",
"telephone_number": "949-497-5811",
"fax_number": "949-497-5811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBAUM",
"first_name": "DANIEL",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "GFE27444",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.