Active NPI
Curtis Edward Rollins, M.D., D.M.D.
- Internal Medicine Physician
- Santa Clara, CA
National Provider Identifier
1265548382
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Dec 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G77431
- Practice address
- 1825 Civic Center Dr Ste 7
Santa Clara, CA 95050-7302 - Phone
- (408) 985-2401
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 2951 | SC | |
| Forensic Pathology Physician | 207ZF0201X | 2005-01895 | NC | |
| Psychiatry Physician | 2084P0800X | G77431 | CA | |
| Internal Medicine Physician | 207R00000X | G77431 | CA | Primary |
Addresses
Primary practice location
1825 Civic Center Dr Ste 7
Santa Clara, CA 95050-7302
Mailing address
1825 Civic Center Dr Ste 7
Santa Clara, CA 95050-7302
Phone (408) 985-2401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77431 | CA | MD | Marriage & Family Therapist |
| G77431 | CA | MD | Internal Medicine Physician |
| 2005-01895 | NC | MD | Forensic Pathology Physician |
| 2951 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433980800000",
"number": "1265548382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 CIVIC CENTER DR STE 7",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950507302",
"telephone_number": "408-985-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 CIVIC CENTER DR STE 7",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950507302",
"telephone_number": "408-985-2401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLINS",
"first_name": "CURTIS",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D., D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2015-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "SC",
"license": "2951",
"primary": false
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "NC",
"license": "2005-01895",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G77431",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G77431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.