Active NPI
Raushan Rozenberg
- Family Medicine Physician
- Roseville, CA
National Provider Identifier
1699598243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 95032741
- Practice address
- 7950 Foothills Blvd Apt 177
Roseville, CA 95747-6557 - Phone
- (301) 633-9871
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 95032741 | CA | Primary |
Addresses
Primary practice location
7950 Foothills Blvd Apt 177
Roseville, CA 95747-6557
Mailing address
7950 Foothills Blvd Apt 177
Roseville, CA 95747-6557
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95032741 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jasbir S Kang MD & Sanjiv Midha MD a Medical Corporation | Multi-Specialty | Current | Accepting new patients |
Locations
527 E St
Marysville, CA 95901
Phone (530) 674-2100
1215 Plumas St
Ste 1900
Yuba City, CA 95991
Phone (530) 674-2100
Interoperability endpoints
- rrozenberg236319@hpmg.direct-ci.net
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.
-
- Internal Medicine Physician
- Marysville, CA
- NPI 1730497421
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1699598243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7950 FOOTHILLS BLVD APT 177",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957476557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 FOOTHILLS BLVD APT 177",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957476557",
"telephone_number": "301-633-9871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZENBERG",
"first_name": "RAUSHAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "95032741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.