Edward E Rotan MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

EDWARD E ROTAN MD INC

Practice address

2016 Forest Ave Ste 5
San Jose, CA 95128-4804

Phone

(408) 286-4600

Fax

(408) 286-5030

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Edward E Rotan, MD

Title

Owner

Phone

(408) 286-4600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1386970853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 FOREST AVE STE 5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284804",
            "telephone_number": "408-286-4600",
            "fax_number": "408-286-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 FOREST AVE STE 5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284804",
            "telephone_number": "408-286-4600",
            "fax_number": "408-286-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD E ROTAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "ROTAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-286-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.