Organization Active NPI

Jeffrey Rosenburg MD Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Escondido, CA
National Provider Identifier
1982801361
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G53269 Issued in CA
Legal business name
JEFFREY ROSENBURG MD INC
Practice address
2493 Russett GLN
Escondido, CA 92029-6632
Phone
(760) 738-1631
Fax
(760) 738-6439
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey M Rosenburg
Title
Ceo
Phone
(760) 738-1631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X G53269 CA Primary

Addresses

Primary practice location

2493 Russett GLN
Escondido, CA 92029-6632

Mailing address

2493 Russett GLN
Escondido, CA 92029-6632
Phone (760) 738-1631

Other identifiers 1

IdentifierTypeStateIssuer
00G532690MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982801361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2493 RUSSETT GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920296632",
            "telephone_number": "760-738-1631",
            "fax_number": "760-738-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2493 RUSSETT GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920296632",
            "telephone_number": "760-738-1631",
            "fax_number": "760-738-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY ROSENBURG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBURG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-738-1631",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G53269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G532690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.