Organization Active NPI

Warren L. Roston MD - a Professional Corporation

  • Pulmonary Disease Physician
  • Beverly Hills, CA
National Provider Identifier
1083898241
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G41613 Issued in CA
Legal business name
WARREN L. ROSTON MD - A PROFESSIONAL CORPORATION
Practice address
250 N Robertson Blvd
Suite # 606
Beverly Hills, CA 90211-1788
Phone
(310) 385-2940
Fax
(310) 385-2939
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Maria Degadillo
Title
Office Manager
Phone
(310) 385-2940

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X G41613 CA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X G41613 CA Primary

Addresses

Primary practice location

250 N Robertson Blvd
Suite # 606
Beverly Hills, CA 90211-1788

Mailing address

250 N Robertson Blvd
Suite # 606
Beverly Hills, CA 90211-1788
Phone (310) 385-2940

National Provider Directory

National Provider Directory

Locations

250 N Robertson Blvd
Ste 606
Beverly Hills, CA 90211
Phone (310) 385-2940

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1083898241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD",
            "address_2": "SUITE # 606",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111788",
            "telephone_number": "310-385-2940",
            "fax_number": "310-385-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD",
            "address_2": "SUITE # 606",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111788",
            "telephone_number": "310-385-2940",
            "fax_number": "310-385-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN L. ROSTON MD - A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "DEGADILLO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-385-2940"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G41613",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G41613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.