Fredric Rosenberg, M.D.
Fredric Rosenberg, M.D. is a Dermatology Physician in Lakewood, CA, registered under NPI 1295885630. This provider registers 6 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 3650 E. SOUTH STREET #306, Lakewood, CA 90712. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| G21402 | CA | Dermatology Physician primary |
| G21402 | CA | Clinical & Laboratory Dermatological… |
| G21402 | CA | Procedural Dermatology Physician |
| G21402 | CA | Dermatopathology Physician |
| G21402 | CA | Pediatric Dermatology Physician |
| G21402 | CA | MOHS-Micrographic Surgery Physician |
This provider holds licence G21402 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Dermatology
- PAC ID
- 5193910024
Medicare enrolment is recorded as approved under the provider type Practitioner - Dermatology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Dermatology covers
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. NUCC Health Care Provider Taxonomy, code 207N00000X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | G21402 | CA | primary |
| 207NI0002X | Clinical & Laboratory Dermatological Immunology Physician Clinical & Laboratory Dermatological Immunology | G21402 | CA | |
| 207NS0135X | Procedural Dermatology Physician Procedural Dermatology | G21402 | CA | |
| 207ND0900X | Dermatopathology Physician Dermatopathology | G21402 | CA | |
| 207NP0225X | Pediatric Dermatology Physician Pediatric Dermatology | G21402 | CA | |
| 207ND0101X | MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery | G21402 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1295885630 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 10, 2007 |
| Last updated | Oct 12, 2010 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | M.D. |
| Practice address |
3650 E. SOUTH STREET #306 Lakewood, CA 90712 (310) 378-1915 Fax (310) 378-6979 |
| Other identifiers |
4024334
· AETNA (CA) 00G214020 (CA) G21402 · STATE LICENSE (CA) ZZZ12556Z · BLUE SHIELD (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 9 | 5 | 8 | 8 | 5 | 6 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 9 | 5 | 7 | 8 | 1 | 6 | 6 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.