Mario Rosenberg, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A30941 Issued in CA

Practice address

9001 Wilshire Blvd Ste 100
Beverly Hills, CA 90211-1840

Phone

(310) 429-6854

Fax

(310) 275-4334

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Advance Care Medical Center Inc

  • Primary Care Clinic/Center
  • Tarzana, CA
  • NPI 1548101975
  NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1982635264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11439",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902134439",
            "telephone_number": "310-666-0840",
            "fax_number": "310-275-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111840",
            "telephone_number": "310-429-6854",
            "fax_number": "310-275-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A30941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Rosen, M.D.
• Sonja Louisa Rosen, MD
• Stacey Rosenbaum, M.D.
• Gaby Rosenberg Cosgrove, DMD
• David Samuel Rosenberg, M.D.
• Michael Laurence Rosenberg
• Ari Rosenblatt, D.M.D., D.D.S.
• Ronald E Rosenblatt, DDS
• Barry E. Rosenbloom, M.D.
• Fred P. Rosenfelt, M.D.

• Specialist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.