DR. FREDERICK S ROSEN (NPI# 1063502839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063502839 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK S ROSEN |
| Credential | MD |
| Practice Address |
1181 Central Blvd Ste B Brentwood CA 94513-2252 |
| Mailing Address |
Po Box 6177 Alameda CA 94501-6977 |
| Practice Telephone | 9254630336 |
| Practice Fax Number | 9254631387 |
| Mailing Telephone | 9254630336 |
| Mailing Fax Number | 9254631387 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | A84955 | CA | Allopathic & Osteopathic Physicians |
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
A84955 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GR | ZZZ21406Z | 01 | |
| CA | LICENSE | A84955 | 01 |
| Street Address |
1181 CENTRAL BLVD STE B |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477071587 | Kathy Yu-syken, Md Inc A Medical Corporation | Otolaryngology | 17742 Beach Blvd Ste 355, Huntington Beach, CA 92647-6854 | 2017-09-08 |
| 1114364148 | Kyle Steve Robinette | Otolaryngology | 9300 Valley Childrens Pl # Se18, Madera, CA 93636-8762 | 2013-05-31 |
| 1790001923 | Josephine Ann Czechowicz | Otolaryngology | 550 16th St Fl 6, Box 3213, San Francisco, CA 94158-2545 | 2010-04-13 |
| 1306002308 | Jeffrey W. Birns, M.d. A Medical Corporation | Otolaryngology | 5400 Balboa Blvd Ste 126, Encino, CA 91316-5202 | 2008-07-30 |
| 1083822217 | Aaron Chengtung Lin | Otolaryngology | 4650 W Sunset Blvd # 58, Los Angeles, CA 90027-6062 | 2007-05-20 |
| 1366592743 | Anna Katrine Meyer | Otolaryngology | 550 4th Street, San Francisco, CA 94158 | 2007-01-10 |
| 1891884359 | Dale Amanda Tylor | Otolaryngology | 1819 State St Ste A, Santa Barbara, CA 93101-2481 | 2006-10-12 |
| 1619923711 | Daniel A Spilman | Otolaryngology | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2006-05-26 |
| 1013986397 | Clifford Philip Amoils | Otolaryngology | 27879 Smyth Dr, Valencia, CA 91355 | 2006-03-17 |
| 1427025675 | Michael E. Dunham | Otolaryngology | 7060 N Recreation Ave, Suite 101, Fresno, CA 93720-8022 | 2006-03-07 |
| Find all providers with the same taxonomy | ||||
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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.