R Roth Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G48505 Issued in NU

Legal business name

R ROTH INC

Practice address

1300 N Vermont Ave
810
Los Angeles, CA 90027-6005

Phone

(424) 288-6930

NPI assigned

Aug 28, 2010

Last updated

Jan 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Scott Roth, MDNPI 1790852713

Title

Medical Director

Phone

(424) 288-6930

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert S. Roth, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1790852713
  NPD (past) Authorized official

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1396051348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 W SUNSET BLVD",
            "address_2": "513",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462401",
            "telephone_number": "424-288-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "424-288-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R ROTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-28",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "424-288-6930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": "G48505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.