Individual provider Active NPI

Roger John Epstein, M.D.

  • Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1053499384
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G75262 Issued in CA
Practice address
1650 Ximeno Ave
#230
Long Beach, CA 90804-2150
Phone
(562) 494-3633
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G75262 CA Primary

Addresses

Primary practice location

1650 Ximeno Ave
#230
Long Beach, CA 90804-2150

Mailing address

1650 Ximeno Ave
#230
Long Beach, CA 90804-2150
Phone (562) 494-3633

Other identifiers 1

IdentifierTypeStateIssuer
GR0000820MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000628 CA Practitioner - Psychiatry 8628265105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio State University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coast Psychiatric AssociatesGroup PAC ID 3375730815, 2 clinicians

Practice addresses (Care Compare)

1650 Ximeno Ave
Suite 230
Long Beach, CA 90804-2185
Phone (562) 494-3633

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G75262CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Coast Psychiatric Associates Psychiatry CurrentSince Mar 1, 1995 Accepting new patients
Ronald T. Silverstein, M.D. Apc Psychiatry PastSince Mar 1, 1995 Accepting new patients

Locations

1650 Ximeno Ave
Ste 230
Long Beach, CA 90804
Phone (562) 494-3633

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rogerepstein@tdh.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053499384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 XIMENO AVE",
            "address_2": "#230",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042150",
            "telephone_number": "562-494-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 XIMENO AVE",
            "address_2": "#230",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042150",
            "telephone_number": "562-494-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "ROGER",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G75262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0000820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.