Individual provider Active NPI

Hootan C. Roozrokh, MD

  • Surgical Oncology Physician
  • Los Gatos, CA
National Provider Identifier
1366520991
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
A83949 Issued in CA
Practice address
14911 National Ave Ste 1
Los Gatos, CA 95032-2632
Phone
(408) 688-2149
Fax
(408) 688-2505
NPI assigned
Nov 1, 2006
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X A83949 CA
Surgical Oncology Physician 2086X0206X A83949 CA Primary

Addresses

Primary practice location

14911 National Ave Ste 1
Los Gatos, CA 95032-2632

Mailing address

14911 National Ave Ste 1
Los Gatos, CA 95032-2632
Phone (408) 688-2149

Other identifiers 1

IdentifierTypeStateIssuer
00A839490MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drroozrokh@drroozrokh.com Direct

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
I20040730000786 CA Practitioner - General Surgery 5092785584 Practice locations: Los Gatos, CA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Wisconsin, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14911 National Ave
Suite 1
Los Gatos, CA 95032-2632
Phone (408) 688-2149

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Bariatrics Medical Corporation PC Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1366520991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14911 NATIONAL AVE STE 1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322632",
            "telephone_number": "408-688-2149",
            "fax_number": "408-688-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14911 NATIONAL AVE STE 1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322632",
            "telephone_number": "408-688-2149",
            "fax_number": "408-688-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOZROKH",
        "first_name": "HOOTAN",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CA",
            "license": "A83949",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A83949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A839490",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drroozrokh@drroozrokh.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14911 National Ave Ste 1",
            "city": "Los Gatos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950322632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.