Organization Active NPI

Rheumatology Associates

  • Rheumatology Physician
  • North Hollywood, CA
National Provider Identifier
1225208606
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
RHEUMATOLOGY ASSOCIATES
Practice address
12660 Riverside Dr
Suite 200
North Hollywood, CA 91607-3430
Phone
(818) 980-7010
Fax
(818) 980-7330
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Dr. Sean Joseph Wollaston, M.D.
Title
Co Partner
Phone
(818) 980-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

12660 Riverside Dr
Suite 200
North Hollywood, CA 91607-3430

Mailing address

12660 Riverside Dr
Suite 200
North Hollywood, CA 91607-3429
Phone (818) 980-7010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060220000474 CA Part B Supplier - Clinic/Group Practice 8224043757 Practice locations: Valley Village, CA

National Provider Directory

National Provider Directory

Locations

12660 Riverside Dr
Ste 200
Valley Vlg, CA 91607
Phone (818) 945-0710

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1225208606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916073429",
            "telephone_number": "818-980-7010",
            "fax_number": "818-980-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916073430",
            "telephone_number": "818-980-7010",
            "fax_number": "818-980-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "WOLLASTON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CO PARTNER",
        "authorized_official_telephone_number": "818-980-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.