Active NPI
Evangeline G Roxas-Butlig MD Inc
- Pediatrics Physician
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A78060
- Legal business name
- EVANGELINE G ROXAS-BUTLIG MD INC
- Practice address
- 1727 Crenshaw Blvd
Torrance, CA 90501 - Phone
- (310) 373-7855
- Fax
- (424) 704-2493
- NPI assigned
- Nov 30, 2009
- 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. Evangeline Gidaya Roxas-Butlig, MD
- Title
- President
- Phone
- (310) 373-7855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A78060 | CA | Primary |
Addresses
Primary practice location
1727 Crenshaw Blvd
Torrance, CA 90501
Mailing address
1727 Crenshaw Blvd
Torrance, CA 90501
Phone (310) 373-7855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A78060 | Other | CA | CALIFORNIA LICENSE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2198918 | Evangeline G Roxas-Butlig MD Inc | Certificate of waiver | Nov 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
1727 Crenshaw Blvd
Torrance, CA 90501
Phone (310) 373-7855
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Torrance, CA
- NPI 1003877531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618531200000",
"number": "1225366305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1727 CRENSHAW BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90501",
"telephone_number": "310-373-7855",
"fax_number": "424-704-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1727 CRENSHAW BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90501",
"telephone_number": "310-373-7855",
"fax_number": "424-704-2493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVANGELINE G ROXAS-BUTLIG MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-30",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A",
"authorized_official_last_name": "ROXAS-BUTLIG",
"authorized_official_first_name": "EVANGELINE",
"authorized_official_middle_name": "GIDAYA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-373-7855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A78060",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE",
"identifier": "A78060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.