Organization Active NPI

Evangeline G Roxas-Butlig MD Inc

  • Pediatrics Physician
  • Torrance, CA
National Provider Identifier
1225366305
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A78060 Issued in CA
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

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Dr. Evangeline Gidaya Roxas-Butlig, MDNPI 1003877531
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
A78060OtherCACALIFORNIA LICENSE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2198918Evangeline G Roxas-Butlig MD Inc1727 Crenshaw Blvd, Torrance, CA 90501Certificate of waiverNov 3, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.