Individual provider Active NPI

Daniel Rosen, MD

  • Internal Medicine Physician
  • Calabasas, CA
National Provider Identifier
1801170519
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A127747 Issued in CA
Practice address
23621 Park Sorrento Ste 102
Calabasas, CA 91302-1395
Phone
(818) 797-8000
Fax
(818) 797-7799
NPI assigned
Sep 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A127747 CA Primary

Addresses

Primary practice location

23621 Park Sorrento Ste 102
Calabasas, CA 91302-1395

Mailing address

23621 Park Sorrento Ste 102
Calabasas, CA 91302-1395
Phone (818) 797-8000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141027001188 CA Practitioner - Internal Medicine 2062633548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23621 Park Sorrento
Suite 102
Calabasas, CA 91302-1395
Phone (818) 797-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as individual
Quality
70.22
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A127747CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rosen Medical Group Inc Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

23621 Park Sorrento
Ste 102
Calabasas, CA 91302
Phone (818) 797-8000

Interoperability endpoints

  • Direct secure messaging: daniel.rosen.1@20560.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1801170519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23621 PARK SORRENTO STE 102",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021395",
            "telephone_number": "818-797-8000",
            "fax_number": "818-797-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23621 PARK SORRENTO STE 102",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021395",
            "telephone_number": "818-797-8000",
            "fax_number": "818-797-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-30",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A127747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.