Evangeline Gidaya Roxas-Butlig, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A78060 Issued in CA

Practice address

1727 Crenshaw Blvd
Torrance, CA 90501

Phone

(310) 373-7855

Fax

(424) 704-2493

NPI assigned

Apr 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evangeline G Roxas-Butlig MD Inc

  • Pediatrics Physician
  • Torrance, CA
  • NPI 1225366305
  NPD (past) Authorized official
• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  NPD (past)
• Providence Health System Southern California

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1902844988
  NPD (past)
• Torrance Memorial Medical Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1740268713
  NPD (past)

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1003877531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90501",
            "telephone_number": "310-373-7855",
            "fax_number": "424-704-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90501",
            "telephone_number": "310-373-7855",
            "fax_number": "424-704-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROXAS-BUTLIG",
        "first_name": "EVANGELINE",
        "middle_name": "GIDAYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-01",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "AA78060",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A78060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A78060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Matthew Rous, RN
• Patricia Ann Rowe, M.D.
• Kimberly Dale Rowerdink
• Rowi Torrance LLC
• Armaan Ahmed Rowther, MD, PHD
• Arnold Gidaya Roxas, DPM
• Roy B. Blumenstrauch, MD, Inc.
• Jamekia Roy
• Melissa Sumitra Roy
• Stephanie Roy

• Pediatrics Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.