Individual provider Active NPI

Ben Rosenstein, D.C.

  • Chiropractor
  • San Mateo, CA
National Provider Identifier
1952751554
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33618 Issued in CA
Practice address
190 W 25TH Ave Ste 4
San Mateo, CA 94403-2272
Phone
(650) 349-2222
NPI assigned
Jun 15, 2016
Last updated
Jun 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33618 CA Primary

Addresses

Primary practice location

190 W 25TH Ave Ste 4
San Mateo, CA 94403-2272

Mailing address

190 W 25TH Ave Ste 4
San Mateo, CA 94403-2272
Phone (650) 349-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220802001989 CA Practitioner - Chiropractic 7113309535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2021 Ygnacio Valley Rd
Suite A3
Walnut Creek, CA 94598-3388
Phone (925) 476-5070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33618CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiropractic Rehab & Wellness Rosenstein & Cresci Inc. Chiropractor CurrentSince Jun 1, 2022 Accepting new patients

Locations

15520 Rockfield Blvd
Ste A200
Irvine, CA 92618

2021 Ygnacio Valley Rd
Ste A3
Walnut Creek, CA 94598
Phone (925) 476-5070

2121 Ygnacio Valley Rd
Ste F
Walnut Creek, CA 94598
Phone (925) 369-0122

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1952751554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W 25TH AVE STE 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032272",
            "telephone_number": "650-349-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W 25TH AVE STE 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032272",
            "telephone_number": "650-349-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENSTEIN",
        "first_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.