DR. FREDRIC ROBERT ROSENBERG (M.D.) – Dermatology Physician, NPI 1295885630

DR. FREDRIC ROBERT ROSENBERG (M.D.) is a healthcare provider. based in Lakewood, California. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. G21402 (CA). The NPI Number for DR. FREDRIC ROBERT ROSENBERG (M.D.) is 1295885630

Main info

Male
Sole Proprietor
57 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREDRIC ROBERT ROSENBERG (M.D.)
NPI
1295885630
Phone
(310) 378-1915
Address
3650 E. SOUTH STREET
Enumeration Date
10 January 2007
Last Update Date
12 October 2010

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
5626336353
Graduation Year
1969 (57 years ago)
PAC ID
5193910024
Group Practice PAC ID
5294779898
Professional Enrollment ID
I20101117000481
Address ID
CA907121516LA3650XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for DR. FREDRIC ROBERT ROSENBERG (M.D.)

  • 3650, East South Street, Lakewood, Los Angeles County, California, 90712, United States

    #306

    LAKEWOOD, CA 90712

    Phone: (310) 378-1915

    Fax: (310) 378-6979

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Amgen Inc. ($25).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101117000481IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes644213$0
99214Established patient office or other outpatient visit, 30-39 minutes439180$0
88305Pathology examination of tissue using a microscope, intermediate complexity20599$0
99204New patient office or other outpatient visit, 45-59 minutes7979$0
11302Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm7639$0
View full utilization report →

Insurance plans in this area (ZIP 90712)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294779898View full group profile
NameSpecialtyState
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. FREDRIC ROBERT ROSENBERG (M.D.)?
NPI 1295885630 is assigned to DR. FREDRIC ROBERT ROSENBERG (M.D.) under the national enumeration system.
Is DR. FREDRIC ROBERT ROSENBERG (M.D.) active in the national directory?
DR. FREDRIC ROBERT ROSENBERG (M.D.)'s public NPI profile is in an active state.
What does DR. FREDRIC ROBERT ROSENBERG (M.D.) treat or focus on?
Patients typically see DR. FREDRIC ROBERT ROSENBERG (M.D.) under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. FREDRIC ROBERT ROSENBERG (M.D.)?
We surface Lakewood, California for DR. FREDRIC ROBERT ROSENBERG (M.D.) based on available NPPES addresses.
Is DR. FREDRIC ROBERT ROSENBERG (M.D.) a real provider?
This page reflects official NPPES data for NPI 1295885630. Always confirm identity and privileges with the practice and licensing boards.

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