NPIMap

Organization Active NPI

Eugene Rosenman MD Professional Corporation

  • Adult Mental Health Clinic/Center
  • Anaheim, CA
National Provider Identifier
1992588313
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
EUGENE ROSENMAN MD PROFESSIONAL CORPORATION
Practice address
2401 E Katella Ave Ste 625
Anaheim, CA 92806-5995
Phone
(800) 577-4701
NPI assigned
Aug 17, 2023
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Mr. Eugene Rosenman, MDNPI 1659433787
Title
Owner
Phone
(702) 857-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2401 E Katella Ave Ste 625
Anaheim, CA 92806-5995

Mailing address

151 Kalmus Dr Ste K2
Costa Mesa, CA 92626-5975

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231207002115 CA Part B Supplier - Clinic/Group Practice 5890144471 Receives reassigned benefits from 19 practitioners
Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

2401 E Katella Ave
Ste 625
Anaheim, CA 92806
Phone (626) 487-4220

3321 N Buffalo Dr
Ste 225
Las Vegas, NV 89129
Phone (702) 816-0226

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1992588313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 KALMUS DR STE K2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E KATELLA AVE STE 625",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065995",
            "telephone_number": "800-577-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE ROSENMAN MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "ROSENMAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-857-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.