Individual provider Active NPI

Loren Roth, M.D.

  • Forensic Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1326246885
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
153313 Issued in CA
Practice address
1001 Potrero Ave., Suite 7M
Zuckerberg San Francisco General Hospital
San Francisco, CA 94110
Phone
(646) 285-7259
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 153313 CA Primary

Addresses

Primary practice location

1001 Potrero Ave., Suite 7M
Zuckerberg San Francisco General Hospital
San Francisco, CA 94110

Mailing address

1001 Potrero Ave., Suite 7M
Zuckerberg San Francisco General Hospital
San Francisco, CA 94110
Phone (646) 285-7259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180406000258 CA Practitioner - Psychiatry 8921286261 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
153313CAMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Apr 2, 2018 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Feb 26, 2018 Accepting new patients
City and County of San Francisco CurrentSince Apr 2, 2018 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California, San Francisco CurrentSince Feb 26, 2018 Accepting new patients

Locations

1001 Potrero Ave
Ste 7M
San Francisco, CA 94110
Phone (415) 206-8362

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1326246885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE., SUITE 7M",
            "address_2": "ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "646-285-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE., SUITE 7M",
            "address_2": "ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "646-285-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "153313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.