Active NPI
John Martin Roesler, M.D.
- Specialist
- Calabasas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A72319
- Practice address
- 24025 Park Sorrento
Suite 405
Calabasas, CA 91302 - Phone
- (818) 609-7200
- Fax
- (855) 754-3775
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | A72319 | CA | Primary |
Addresses
Primary practice location
24025 Park Sorrento
Suite 405
Calabasas, CA 91302
Mailing address
24025 Park Sorrento
Suite 405
Calabasas, CA 91302
Phone (818) 609-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201118042 | Other | CA | TAX ID |
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
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of California, Geffen School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
24025 Park Sorrento
Suite 405
Calabasas, CA 91302-4037
Phone (818) 609-7200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A72319 | CA | MD | Specialist |
| 72319 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Csi Medical Group | Current | Accepting new patients | |
| MD Surgical Solutions, LLC | Current | Accepting new patients | |
| Vera D. Cecilio, M.D. Inc. | Past | Accepting new patients | |
| Montage Medical Group | Past | Accepting new patients |
Locations
23975 Park Sorrento
Ste 355
Calabasas, CA 91302
Phone (818) 222-2055
24025 Park Sorrento
Ste 405
Calabasas, CA 91302
Phone (818) 222-2055
15477 Ventura Blvd
Ste 103
Sherman Oaks, CA 91403
Phone (818) 641-1214
28049 Smyth Dr
Valencia, CA 91355
Phone (661) 705-9706
Interoperability endpoints
- jroesler25818@direct.uclahealth.org
Organizations & group practices 4
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.
-
- Ambulatory Surgical Clinic/Center
- Sherman Oaks, CA
- NPI 1134327182
-
- MOHS-Micrographic Surgery Physician
- San Pedro, CA
- NPI 1871909804
-
- Internal Medicine Physician
- Carmel, CA
- NPI 1770710709
-
- Otolaryngology/Facial Plastic Surgery Physician
- Tarzana, CA
- NPI 1558677674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1124037635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24025 PARK SORRENTO",
"address_2": "SUITE 405",
"city": "CALABASAS",
"state": "CA",
"postal_code": "91302",
"telephone_number": "818-609-7200",
"fax_number": "855-754-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24025 PARK SORRENTO",
"address_2": "SUITE 405",
"city": "CALABASAS",
"state": "CA",
"postal_code": "91302",
"telephone_number": "818-609-7200",
"fax_number": "855-754-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESLER",
"first_name": "JOHN",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A72319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "201118042",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.