Active NPI
Olga Jane Rotermund, NURSE
- Gynecology Physician
- Walnut Creek, CA
National Provider Identifier
1164179586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- G3944
- Practice address
- 210 Dover Dr
Walnut Creek, CA 94598-3322 - Phone
- (925) 787-4110
- NPI assigned
- Mar 5, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | G3944 | CA | Primary |
Addresses
Primary practice location
210 Dover Dr
Walnut Creek, CA 94598-3322
Mailing address
210 Dover Dr
Walnut Creek, CA 94598-3322
Phone (925) 787-4110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G3944 | CA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646438400000",
"number": "1164179586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 DOVER DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983322",
"telephone_number": "925-787-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 DOVER DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983322",
"telephone_number": "925-787-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTERMUND",
"first_name": "OLGA",
"middle_name": "JANE",
"credential": "NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-05",
"last_updated": "2022-03-05",
"certification_date": "2022-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "G3944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.