Active NPI
Walter Rogoff, M.D.
- Anesthesiology Physician
- Valencia, CA
National Provider Identifier
1215903141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A42624
- Practice address
- 23845 McBean Pkwy
Valencia, CA 91355-2001 - Phone
- (661) 253-8433
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A42624 | CA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A42624 | CA |
Addresses
Primary practice location
23845 McBean Pkwy
Valencia, CA 91355-2001
Mailing address
225 S Lake Ave Ste 535
Pasadena, CA 91101-3010
Phone (626) 204-6746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A42624C | Other | CA | MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42624 | CA | MD | Licensed Psychiatric Technician |
| A42624 | CA | MD | Pain Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1215903141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S LAKE AVE STE 535",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013010",
"telephone_number": "626-204-6746",
"fax_number": "626-240-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23845 MCBEAN PKWY",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913552001",
"telephone_number": "661-253-8433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGOFF",
"first_name": "WALTER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A42624",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A42624",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A42624C",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.