Individual provider Active NPI

Joshua Waltzman, M.D.

  • Plastic Surgery Physician
  • Long Beach, CA
National Provider Identifier
1194967240
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A128713 Issued in CA
Practice address
4251 Long Beach Blvd Ste 102
Long Beach, CA 90807-2005
Phone
(562) 448-6100
Fax
(562) 448-6101
NPI assigned
Apr 2, 2009
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Plastic Surgery Physician 208200000X A128713 CA Primary

Addresses

Primary practice location

4251 Long Beach Blvd Ste 102
Long Beach, CA 90807-2005

Mailing address

4251 Long Beach Blvd Ste 102
Long Beach, CA 90807-2005
Phone (562) 448-6100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630002087 CA Practitioner - Plastic and Reconstructive Surgery 9931425907 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A128713CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto Roizenblatt MD, Professional Corporation PastSince Apr 23, 2023 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1194967240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 LONG BEACH BLVD STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072005",
            "telephone_number": "562-448-6100",
            "fax_number": "562-448-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 LONG BEACH BLVD STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072005",
            "telephone_number": "562-448-6100",
            "fax_number": "562-448-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTZMAN",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A128713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.