Individual provider Active NPI

Thomas Ernest Roide II

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1295443687
Registry record updated Dec 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
4443 Ambrose Ave
Los Angeles, CA 90027-2114
Phone
(818) 839-0759
NPI assigned
Nov 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4443 Ambrose Ave
Los Angeles, CA 90027-2114

Mailing address

PO Box 29187
Los Angeles, CA 90029-0187
Phone (818) 839-0759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

314 S Melrose Dr
Suite 110
Vista, CA 92081-6698

3150 Pio Pico Dr
Suite 105
Carlsbad, CA 92008-1951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670025600000",
    "number": "1295443687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29187",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900290187",
            "telephone_number": "818-839-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4443 AMBROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272114",
            "telephone_number": "818-839-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROIDE",
        "first_name": "THOMAS",
        "middle_name": "ERNEST",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-12-03",
        "certification_date": "2022-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.