Caitlin Rota

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

95010981 Issued in CA

Practice address

432 S Pacific Coast Hwy
Redondo Beach, CA 90277-3735

Phone

(310) 710-1341

NPI assigned

Jan 6, 2020

Reactivated

Feb 26, 2021

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1053950287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 KENTWOOD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451220",
            "telephone_number": "310-710-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 S PACIFIC COAST HWY",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773735",
            "telephone_number": "310-710-1341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7016 Kentwood Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900451220",
            "country_code": "US",
            "telephone_number": "310-710-1341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTA",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "deactivation_date": "2020-07-15",
        "reactivation_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95010981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily V. Rotenberg, RDN
• Rebecca Rouse, PSYD
• Roxanne Horta LCSW, Inc.
• Marietta Denise Rubin, M.P.T., O.C.S.
• Robert Alan Rubin, MD

• Women's Health Nurse Practitioner in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.