Kenneth L. Rothman, M.D., Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G27686 Issued in CA

Legal business name

KENNETH L. ROTHMAN, M.D., INC.

Practice address

20130 Lake Chabot Rd
Suite 202
Castro Valley, CA 94546-5340

Phone

(510) 582-6424

Fax

(510) 582-6462

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Kenneth L Rothman, M.D.

Title

President

Phone

(510) 582-6424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1346529617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20130 LAKE CHABOT RD",
            "address_2": "SUITE 202",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465340",
            "telephone_number": "510-582-6424",
            "fax_number": "510-582-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20130 LAKE CHABOT RD",
            "address_2": "SUITE 202",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465340",
            "telephone_number": "510-582-6424",
            "fax_number": "510-582-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH L. ROTHMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-582-6424",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G27686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ted Kautz III
• Paul Daniel Keim
• James Austin Kelly, PSY.D.
• Lauren Nicole Kelly
• Robert Kennedy, MFT
• Linda Kenny, M.A., CCC-SLP
• Barry Martin Kerman, M.D
• Monica Christine Keyser, OTR/L
• Fatma Khakoo, MD
• Fadi Khalil

• Primary Care Clinic/Center in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.