DR. LAWRENCE ROSENBAUM (NPI# 1467555474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467555474 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE ROSENBAUM |
| Credential | M.D. |
| Practice Address |
1595 Soquel Dr Ste 400 Santa Cruz CA 95065-1719 |
| Mailing Address |
1595 Soquel Dr Ste 330 Santa Cruz CA 95065-1719 |
| Practice Telephone | 8314751111 |
| Practice Fax Number | 8314765020 |
| Mailing Telephone | 8314657761 |
| Mailing Fax Number | 8314751156 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
G079252 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL ID NUMBER | GR0028554 | 01 |
| Street Address |
1595 SOQUEL DR STE 400 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891788592 | Marcus R Kwan | Surgery | 1595 Soquel Dr, Suite 340, Santa Cruz, CA 95065-1719 | 2005-08-26 |
| 1346679149 | Dilyana Georgieva | Nurse Practitioner | 1595 Soquel Dr, Suite 400, Santa Cruz, CA 95065-1719 | 2013-11-02 |
| 1437598158 | Steven Matthew Leuck | Pharmacist | 1595 Soquel Dr, Santa Cruz, CA 95065-1719 | 2013-06-15 |
| 1558612770 | Treta Purohit Goyal | Internal Medicine | 1595 Soquel Dr, Suite 140, Santa Cruz, CA 95065-1719 | 2012-09-27 |
| 1710266424 | Anna W Dodge | Audiologist | 1595 Soquel Dr, 230, Santa Cruz, CA 95065-1719 | 2011-08-11 |
| 1831498393 | Matthew Mcleod Ryan | Physical Medicine & Rehabilitation | 1595 Soquel Dr, Suite 110, Santa Cruz, CA 95065-1719 | 2011-03-23 |
| 1174855936 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr, Suite 220, Santa Cruz, CA 95065-1719 | 2010-02-04 |
| 1205067410 | Cheryl S Demonner | Physician Assistant | 1595 Soquel Dr, Suite 400, Santa Cruz, CA 95065-1719 | 2009-08-05 |
| 1184883225 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr, Suite 140, Santa Cruz, CA 95065-1719 | 2008-06-04 |
| 1174798342 | Dominican Hospital Foundation | Non-Pharmacy Dispensing Site | 1595 Soquel Dr, 400, Santa Cruz, CA 95065-1719 | 2008-04-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
| 1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
| 1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
| 1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
| 1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
| 1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
| 1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639272750 | Robert Keet | Internal Medicine | 1595 Soquel Dr, Ste 400, Santa Cruz, CA 95065-1719 | 2006-09-06 |
| 1659474542 | Satish Chandra | Internal Medicine | 1595 Soquel Dr, Ste 400, Santa Cruz, CA 95065-1719 | 2006-09-06 |
| 1972500320 | Naghmeh Pooya | Internal Medicine | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2005-06-30 |
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| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1972081412 | Ahra Cho, M.d., Inc | Internal Medicine | 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 | 2018-08-06 |
| 1013401975 | Robert H Moon Md, Inc | Internal Medicine | 181 Rea Ave, El Cajon, CA 92020-3985 | 2018-06-14 |
| 1821587585 | Aost Healthcare Services | Internal Medicine | 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 | 2018-05-08 |
| 1396233185 | Caroline Petrossian | Internal Medicine | 1880 Century Park East Suite 711, Century City, CA 90067 | 2018-04-26 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1427588417 | Vivacitas Medical Group PC | Internal Medicine | 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954-1190 | 2017-06-13 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
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| City | SANTA CRUZ |
| Zip Code | 95065 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.