James B Roth, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20A4011 Issued in CA

Practice address

2755 Herndon Ave
Clovis, CA 93611-6800

Phone

(559) 935-5491

Fax

(559) 935-5719

NPI assigned

Aug 21, 2006

Last updated

Feb 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• G&J Roth Prof Corp.

  • Family Medicine Physician
  • Clovis, CA
  • NPI 1225250087
  NPD
• Alexzandra Hollingworth MD Inc

  • Trauma Surgery Physician
  • Fresno, CA
  • NPI 1508003765
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1366557928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 E SIERRA AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936199013",
            "telephone_number": "559-935-5491",
            "fax_number": "559-935-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 HERNDON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116800",
            "telephone_number": "559-935-5491",
            "fax_number": "559-935-5719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 E Herndon Ave",
            "address_2": "Suite 105A",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202992",
            "country_code": "US",
            "telephone_number": "559-438-1245",
            "fax_number": "559-261-2968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A4011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010000314",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDL",
            "identifier": "349152400",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX40110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Home II
• Rosemary Homes
• Chylbert Magbanua Rosendo, REGISTERED NURSE
• Jeri Ross
• Taylor Rene Rotan
• Timothy J Roth, D.O.
• Baylee Naomi Rouff
• Cheryl Lynn Rowley
• Tanae Royal
• Anissa Rozadilla, MSW

• Surgery Physician in Clovis, CA
• Providers in Clovis, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.