Active NPI
Veronique Hedwige Jotterand, M.D.
- Ophthalmology Physician
- Long Beach, CA
National Provider Identifier
1083636187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G54415
- Practice address
- 2865 Atlantic Ave
Suite 109
Long Beach, CA 90806-1740 - Phone
- (562) 988-2020
- Fax
- (562) 426-7394
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G54415 | CA | Primary |
Addresses
Primary practice location
2865 Atlantic Ave
Suite 109
Long Beach, CA 90806-1740
Mailing address
2865 Atlantic Ave
Suite 109
Long Beach, CA 90806-1740
Phone (562) 988-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G544150 | Other | CA | MEDICAL PPIN # |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G54415 | CA | MD | Ophthalmology Physician |
| 54415 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Ophthalmology | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Ophthalmology Physician
- Long Beach, CA
- NPI 1427155662
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Ophthalmology
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1083636187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 ATLANTIC AVE",
"address_2": "SUITE 109",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061740",
"telephone_number": "562-988-2020",
"fax_number": "562-426-7394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 ATLANTIC AVE",
"address_2": "SUITE 109",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061740",
"telephone_number": "562-988-2020",
"fax_number": "562-426-7394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOTTERAND",
"first_name": "VERONIQUE",
"middle_name": "HEDWIGE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G54415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PPIN #",
"identifier": "00G544150",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.