Active NPI
Rheumatology Associates
- Rheumatology Physician
- North Hollywood, CA
National Provider Identifier
1225208606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060220000474 | CA | Part B Supplier - Clinic/Group Practice | 8224043757 | Practice locations: Valley Village, CA |
National Provider Directory
National Provider DirectoryLocations
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.