Organization Active NPI

Gary J Rosenberg, a Professional Medical Corporation

  • Orthopaedic Surgery Physician
  • Mission Viejo, CA
National Provider Identifier
1952051567
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
GARY J ROSENBERG, A PROFESSIONAL MEDICAL CORPORATION
Practice address
26921 Crown Valley Pkwy Ste 201
Mission Viejo, CA 92691-6501
Phone
(949) 333-2224
NPI assigned
Mar 25, 2022
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Dr. Gary Joel Rosenberg, DO
Title
President
Phone
(248) 770-5179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

26921 Crown Valley Pkwy Ste 201
Mission Viejo, CA 92691-6501

Mailing address

71 Windwalker Way
Tustin, CA 92782-3739
Phone (248) 770-5179

Other practice location 1

18102 Sky Park Cir Ste D
Irvine, CA 92614-6531
Phone (949) 988-0445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1952051567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 WINDWALKER WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927823739",
            "telephone_number": "248-770-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26921 CROWN VALLEY PKWY STE 201",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916501",
            "telephone_number": "949-333-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18102 Sky Park Cir Ste D",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926146531",
            "country_code": "US",
            "telephone_number": "949-988-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GARY J ROSENBERG, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-770-5179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.