RICHARD A. ROSENBERG DPM INC. (NPI# 1518144989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518144989 |
| Entity Type | Organization |
| Organization Name | RICHARD A. ROSENBERG DPM INC. |
| Practice Address |
3300 E South St St 306 Lakewood CA 90805-4549 |
| Practice Telephone | 5626335881 |
| Practice Fax Number | 5626333646 |
| Mailing Telephone | 5626335881 |
| Mailing Fax Number | 5626333646 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2010-12-08 |
| Authorized Official Name | RICHARD A ROSENBERG (OWNER) |
| Authorized Official Telephone | 5626335881 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
E2466 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E24660 | 05 |
| Street Address |
3300 E SOUTH ST ST 306 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90805-4549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411684 | Sultanali Alidina | Internal Medicine | 3300 E South St, Suite 209, Lakewood, CA 90805-4549 | 2005-07-15 |
| 1396271763 | Priority Medical Care, Inc. | Internal Medicine | 3300 E South St, Suit 201, Lakewood, CA 90805-4549 | 2017-05-04 |
| 1568813723 | Kevin Kwok | Optometrist | 3300 E South St, Suite 105, Lakewood, CA 90805-4549 | 2016-06-28 |
| 1386048429 | Caremore Health Plan | Clinic/Center | 3300 E South St, #102, Lakewood, CA 90805-4549 | 2014-10-17 |
| 1730427436 | Mvm Medical Corporation | Internal Medicine | 3300 E South St, Ste 305, Lakewood, CA 90805-4549 | 2013-01-30 |
| 1154693307 | Rohun Medical Corporation | Specialist | 3300 E South St, Suite 206, Lakewood, CA 90805-4549 | 2012-02-03 |
| 1306115332 | Theresa Adele Smith | Nurse Practitioner | 3300 E South St, Suite #: 102, Lakewood, CA 90805-4549 | 2011-12-20 |
| 1114218559 | Jesse J Licuanan Md A Medical Corporation | Internal Medicine | 3300 E South St, Suite 205, Lakewood, CA 90805-4549 | 2011-04-19 |
| 1689978140 | Amy Elizabeth Pound | Social Worker | 3300 E South St, Lakewood, CA 90805-4549 | 2010-12-27 |
| 1407165079 | Ronald Castillo Tejada Jr. | Internal Medicine | 3300 E South St, Suite 205, Lakewood, CA 90805-4549 | 2010-09-30 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
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| 1700034360 | Tj Entpz of Colo Inc | Durable Medical Equipment & Medical Supplies | 7978 W Alameda Ave, Unit D, Lakewood, CO 80226-3086 | 2008-09-08 |
| 1295901494 | Imperial Eyewear | Durable Medical Equipment & Medical Supplies | 227 River Avenue, Lakewood, NJ 08701 | 2008-05-07 |
| 1861566523 | Atg-colorado Inc | Durable Medical Equipment & Medical Supplies | 9197 W 6th Ave, Suite 1000, Lakewood, CO 80215-5109 | 2006-11-17 |
| 1841270154 | Oxygen Plus Inc | Durable Medical Equipment & Medical Supplies | 3265 S Wadsworth Blvd, Bldg. 2, Unit J, Lakewood, CO 80227-5027 | 2006-01-20 |
| Find all providers in LAKEWOOD | ||||
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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.