Active NPI
Jon J Roth MD Inc
- General Acute Care Hospital
- La Mesa, CA
National Provider Identifier
1235315607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- C50622
- Legal business name
- JON J ROTH MD INC
- Practice address
- 5555 Grossmont Center Dr
La Mesa, CA 91942-3019 - Phone
- (619) 937-6415
- NPI assigned
- Jan 16, 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
- Jon Roth, MD
- Title
- Internalist
- Phone
- (619) 937-6415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | C50622 | CA | Primary |
Addresses
Primary practice location
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Mailing address
7918 El Cajon Blvd # 213
La Mesa, CA 91941-3710
Phone (619) 937-6415
National Provider Directory
National Provider DirectoryLocations
7918 El Cajon Blvd
Ste 213
La Mesa, CA 91942
7918 El Cajon Blvd
#213
La Mesa, CA 91942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200441600000",
"number": "1235315607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7918 EL CAJON BLVD # 213",
"city": "LA MESA",
"state": "CA",
"postal_code": "919413710",
"telephone_number": "619-937-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 GROSSMONT CENTER DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423019",
"telephone_number": "619-937-6415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JON J ROTH MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-16",
"last_updated": "2008-01-16",
"status": "A",
"authorized_official_last_name": "ROTH",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "INTERNALIST",
"authorized_official_telephone_number": "619-937-6415",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "C50622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.