Individual provider Active NPI

Roslyn Rivkah Isseroff, M.D.

  • Dermatology Physician
  • Sacramento, CA
National Provider Identifier
1336115427
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G43459 Issued in CA
Practice address
3301 C St
Suite 1400
Sacramento, CA 95816-3300
Phone
(916) 734-6795
Fax
(916) 442-5702
NPI assigned
Feb 27, 2006
Last updated
Aug 14, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G43459 CA Primary

Addresses

Primary practice location

3301 C St
Suite 1400
Sacramento, CA 95816-3300

Mailing address

3200 Barberry LN
Sacramento, CA 95864-5020
Phone (916) 734-6795

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: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G43459CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Dermatology CurrentSince Jul 16, 1981 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 16, 1981 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

3301 C St
Ste 1400
Sacramento, CA 95816
Phone (916) 734-6111

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1336115427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BARBERRY LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645020",
            "telephone_number": "916-734-6795",
            "fax_number": "916-734-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST",
            "address_2": "SUITE 1400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163300",
            "telephone_number": "916-734-6795",
            "fax_number": "916-442-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSEROFF",
        "first_name": "ROSLYN",
        "middle_name": "RIVKAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G43459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.