Georgine De Roth, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C183787 Issued in CA

Practice address

362 W Mission Ave Ste 105
Escondido, CA 92025-1738

Phone

(760) 741-1224

Fax

(760) 741-1010

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Culture of Life Family Services

  • Primary Care Clinic/Center
  • Escondido, CA
  • NPI 1679160931

  Family Medicine

  Medicare reassignment NPD
• Scripps Health

  • Clinical Medical Laboratory
  • La Jolla, CA
  • NPI 1427034990
  NPD (past)
• CHI St. Luke'S Health Baylor College of Medicine Medical Center

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1184622847
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1417965674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 W MISSION AVE STE 105",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251738",
            "telephone_number": "760-741-1224",
            "fax_number": "760-741-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 W MISSION AVE STE 105",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251738",
            "telephone_number": "760-741-1224",
            "fax_number": "760-741-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ROTH",
        "first_name": "GEORGINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0052",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C183787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De la Llana Medical Group Inc
• Amanda De la Mora, PCCI
• Natalie Margarita De la Rosa
• Laura Louise De la Torre
• Jolene B De Oliveira
• Amanda L Dean, LCSW
• Pete Dearmas, DC
• Crystal Marie Deatherage
• Veronica Deatrick, PMHNP
• Debra L. McIntyre, O.D., a Professional Optometric Corporation

• Family Medicine Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.