Roger Joseph Mah Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G77107 Issued in CA

Legal business name

ROGER JOSEPH MAH CORPORATION

Practice address

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303

Phone

(310) 829-5511

NPI assigned

Apr 9, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roger J Mah, M.D.NPI 1477564185

Title

President/Sole Owner

Phone

(123) 456-7890

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger J. Mah, M.D.

  • Anesthesiology Physician
  • Santa Monica, CA
  • NPI 1477564185
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1003259060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 OVERLAND AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042303",
            "telephone_number": "310-829-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER JOSEPH MAH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "MAH",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/SOLE OWNER",
        "authorized_official_telephone_number": "123-456-7890",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G77107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Rodriguez, PA-C
• Zenia Elizabeth Rodriguez
• Patricia Ann Roffey
• Camille E Rogacion Labao, MSN, NP, AGACNP-BC
• Roger H Schuster DDS Inc
• Roger L. Lent DDS a Professional Corp.
• Anthony Cola Rogers, LCSW
• Craig Steven Rogers, MFT
• Justin Maxwell Rogoski, MD
• Lawrence Rolle

• Anesthesiology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.