Individual provider Active NPI

Raushan Rozenberg

  • Family Medicine Physician
  • Roseville, CA
National Provider Identifier
1699598243
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95032741 Issued in CA
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

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218003529 CA Practitioner - Nurse Practitioner 4082141858 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95032741CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jasbir S Kang MD & Sanjiv Midha MD a Medical Corporation Multi-Specialty CurrentSince Dec 9, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.