DR. JEFFREY M ROSENBURG (NPI# 1972576189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972576189 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY M ROSENBURG |
| Practice Address |
1955 Citracado Pkwy Suite 301 Escondido CA 92029-4110 |
| Mailing Address |
2493 Russett Glen Escondido CA 92029 |
| Practice Telephone | 6198849222 |
| Practice Fax Number | 7607386439 |
| Mailing Telephone | 7607381715 |
| Mailing Fax Number | 7607386439 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2015-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G53269 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G532690 | 05 | |
| MEDICARE PTAN # CB212464 | CB212464 | 01 |
| Street Address |
1955 CITRACADO PKWY SUITE 301 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92029-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071469 | Bradley Howard Chesler | Physical Medicine & Rehabilitation | 1955 Citracado Pkwy, Suite 203, Escondido, CA 92029-4110 | 2005-05-24 |
| 1528510930 | Chase Wagner | Nurse Practitioner | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2016-11-01 |
| 1881018067 | Kimberly Marie Barmack | Nurse Practitioner | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2014-02-10 |
| 1730432469 | Lc San Diego LLC | Pharmacy | 1955 Citracado Pkwy, Ste 101, Escondido, CA 92029-4110 | 2012-10-18 |
| 1679825764 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 1955 Citracado Pkwy, Suite 100, Escondido, CA 92029-4110 | 2012-10-12 |
| 1518217330 | Arch Health Partners | Internal Medicine | 1955 Citracado Pkwy, Ste 300, Escondido, CA 92029-4110 | 2012-09-19 |
| 1215201108 | Maryam Balouch | Internal Medicine | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2012-02-24 |
| 1487892352 | Arush Arvin Patel | Orthopaedic Surgery | 1955 Citracado Pkwy, # 200, Escondido, CA 92029-4110 | 2009-01-29 |
| 1619174133 | Navinder Singh Sawhney | Internal Medicine | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2007-06-28 |
| 1114044633 | Robert Duane Frost | Physician Assistant | 1955 Citracado Pkwy, Suite 200, Escondido, CA 92029-4110 | 2007-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
| 1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
| 1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
| 1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
| 1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
| 1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
| 1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
| 1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
| 1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
| 1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982801361 | Jeffrey Rosenburg Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2493 Russett Gln, Escondido, CA 92029-6632 | 2007-06-29 |
| 1164604401 | Robert T. Reichman, M.d. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 488 E Valley Pkwy Ste 211, Escondido, CA 92025-3370 | 2007-11-28 |
| 1841223807 | Thomas Laroy Kolt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2006-07-09 |
| 1902879505 | Robert T Reichman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 488 E Valley Pkwy, #211, Escondido, CA 92025-3363 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
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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.