Jeffrey M Rosenburg

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

G53269 Issued in CA

Practice address

1955 Citracado Pkwy
Suite 301
Escondido, CA 92029-4110

Phone

(619) 884-9222

Fax

(760) 738-6439

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1972576189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2493 RUSSETT GLEN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92029",
            "telephone_number": "760-738-1715",
            "fax_number": "760-738-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 CITRACADO PKWY",
            "address_2": "SUITE 301",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294110",
            "telephone_number": "619-884-9222",
            "fax_number": "760-738-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBURG",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G53269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G532690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN # CB212464",
            "identifier": "CB212464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Dental Group
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• Jill Hannah Rosenberg
• Tobias Rosenberg
• Chris Rosenstock
• Megan Lynn Rosenstock, MPT
• Denise Rosete, RBT
• Roshni Patel DDS Inc
• Hannah Roskelley

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.