Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fredric Robert Rosenberg, MD

Individual provider Dermatology Physician · NPI 1295885630

Dr. Fredric Robert Rosenberg, MD is a Dermatology in Lakewood, California. Graduated from Albert Einstein College of Medicine of Yeshiva University in 1969, 57 years ago. Practices with Advanced Dermatology Surgical and Medical Group Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
57
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
CA
In the registry since
2007
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3650 E South St #306
Lakewood, CA 90712
Phone: (310) 378-1915
Fax: (310) 378-6979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G21402 (CA)
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X · Licence G21402 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence G21402 (CA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence G21402 (CA)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence G21402 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence G21402 (CA)

Record details

NPI number1295885630
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 10, 2007
Last updated in NPPESOctober 12, 2010
Mailing address3650 E. South Street, 306, Lakewood, CA 90712

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 1969 (57 years in practice)
Group practice Advanced Dermatology Surgical And Medical Group Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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