Active NPI
John S Rollins, M.D.
- Specialist
- Los Gatos, CA
National Provider Identifier
1396791042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G40789
- Practice address
- 555 Knowles Dr
#200
Los Gatos, CA 95032-1549 - Phone
- (408) 356-7139
- Fax
- (408) 356-3990
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G40789 | CA | Primary |
Addresses
Primary practice location
555 Knowles Dr
#200
Los Gatos, CA 95032-1549
Mailing address
555 Knowles Dr
#200
Los Gatos, CA 95032-1549
Phone (408) 356-7139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40789 | CA | MD | Dentist |
| G40789 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1396791042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 KNOWLES DR",
"address_2": "#200",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321549",
"telephone_number": "408-356-7139",
"fax_number": "408-356-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 KNOWLES DR",
"address_2": "#200",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321549",
"telephone_number": "408-356-7139",
"fax_number": "408-356-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLINS",
"first_name": "JOHN",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G40789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.