Roger Kasendorf, DO, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

239449 Issued in NY

Legal business name

ROGER KASENDORF, DO, PC

Practice address

9834 Genesee Ave
Suite 427
Lajolla, CA 92037

Phone

(858) 429-6290

Fax

(858) 244-0152

NPI assigned

Jun 4, 2012

Last updated

Oct 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roger Ashley Kasendorf, D.O.NPI 1356371884

Title

Physician

Phone

(858) 429-6290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Ashley Kasendorf, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • La Jolla, CA
  • NPI 1356371884
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1124389473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE 427",
            "city": "LAJOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-429-6290",
            "fax_number": "858-244-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE 427",
            "city": "LAJOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-429-6290",
            "fax_number": "858-244-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER KASENDORF, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "KASENDORF",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "858-429-6290",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "239449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Michelle Rodriguez-Bruno, M.D.
• Abner Rodriguez
• Vanessa Rodriguez
• Timothy Charles Rodwell, M.D., PH.D., M.P.H
• Erin Elizabeth Roesch, M.D.
• John D. Rogers, M.D.
• Anna Linnea Rohdin-Bibby, MSC
• Gene Charles Roland, MD
• Kelsey Robin Rolfe, M.S.
• Kellie K Rolph, N. P.

• Physical Medicine & Rehabilitation Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.