Eric Rosoff, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A156080 Issued in CA

Practice address

11980 San Vicente Blvd Ste 910
Los Angeles, CA 90049-6607

Phone

(310) 620-6002

Fax

(888) 894-0883

NPI assigned

Apr 22, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 28, 2023 through Feb 28, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: erosoff648753@direct.uclahealth.org

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1013337781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 910",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496607",
            "telephone_number": "310-620-6002",
            "fax_number": "888-894-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 910",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496607",
            "telephone_number": "310-620-6002",
            "fax_number": "888-894-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Market St",
            "address_2": "Second Floor",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043309",
            "country_code": "US",
            "telephone_number": "215-746-7222",
            "fax_number": "888-804-8839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSOFF",
        "first_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A156080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Anne Rosko, MSW
• Thomas Richard Roslak
• Jack J. Rosner, M.D.
• Jason Rosner, RABBI - MOHEL
• Sharon Rosner, SLP
• Jessie Erica Rosoff, MS, RN, CNSC, CLC
• Saul Rosoff, M.D.
• Erica Rosol
• Michael Harry Rosove, MD
• Sherman P Rosove, M.D.

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.