DR. JERRY M ROSENBAUM M.D NPI 1700907896

NPI Information

  • NPI: 1700907896
  • Provider Name: DR. JERRY M ROSENBAUM, M.D
  • Classification: Internal Medicine - 207RR0500X
  • Specialization: Rheumatology
  • Entity Type: Individual
  • Address: 6 BAY COURT
    SAN RAFAEL, CA
    ZIP 94901
  • Phone: (305) 505-7180

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NPI Details

DR. Jerry M Rosenbaum, M.D is a rheumatology internal medicine in San Rafael, CA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Jerry M Rosenbaum, M.D NPI is 1700907896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6 BAY COURT
SAN RAFAEL, CA
ZIP 94901
Phone: (305) 505-7180
Fax: (415) 785-4176

The enumeration date for this NPI number is 4/3/2007 and was last updated on 11/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174H00000XHealth EducatorME33938FLORIDANo
2207RR0500XInternal MedicineRheumatologyME33938FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D64775MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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