Individual provider Active NPI

Roshan Reporter, MD, MPH

  • Public Health & General Preventive Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1497924096
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
G61330 Issued in CA
Practice address
313 N Figueroa St
Room 212
Los Angeles, CA 90012-2602
Phone
(213) 240-7941
Fax
(213) 482-4856
NPI assigned
Feb 27, 2008
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X G61330 CA Primary

Addresses

Primary practice location

313 N Figueroa St
Room 212
Los Angeles, CA 90012-2602

Mailing address

313 N Figueroa St
Room 212
Los Angeles, CA 90012-2602
Phone (213) 240-7941

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G61330CAMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1497924096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N FIGUEROA ST",
            "address_2": "ROOM 212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122602",
            "telephone_number": "213-240-7941",
            "fax_number": "213-482-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N FIGUEROA ST",
            "address_2": "ROOM 212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122602",
            "telephone_number": "213-240-7941",
            "fax_number": "213-482-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPORTER",
        "first_name": "ROSHAN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G61330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.