Active NPI
Derald W Rochat, M.D., Inc.
- Otolaryngology Physician
- Placerville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G25083
- Legal business name
- DERALD W ROCHAT, M.D., INC.
- Practice address
- 1008 Fowler Way Ste C
Placerville, CA 95667-5701 - Phone
- (530) 622-1283
- Fax
- (530) 622-0283
- NPI assigned
- Mar 14, 2007
- Last updated
- Dec 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derald W Rochat, M.D.
- Title
- Owner
- Phone
- (530) 622-1283
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G25083 | CA | Primary |
Addresses
Primary practice location
1008 Fowler Way Ste C
Placerville, CA 95667-5701
Mailing address
1008 Fowler Way Ste C
Placerville, CA 95667-5701
Phone (530) 622-1283
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D02799 | Other | CA | RAILROAD MEDICARE |
| 00G250830 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1008 Fowler Way
Ste C
Placerville, CA 95667
Phone (530) 622-1283
Practitioners & affiliated clinicians
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.
-
- Otolaryngology Physician
- Placerville, CA
- NPI 1295752129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544400000000",
"number": "1194859223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 FOWLER WAY STE C",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675701",
"telephone_number": "530-622-1283",
"fax_number": "530-622-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 FOWLER WAY STE C",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675701",
"telephone_number": "530-622-1283",
"fax_number": "530-622-0283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERALD W ROCHAT, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2018-12-10",
"status": "A",
"authorized_official_last_name": "ROCHAT",
"authorized_official_first_name": "DERALD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "530-622-1283",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G25083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "D02799",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G250830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.