Aron L Rotman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G73976 Issued in CA

Practice address

4804 Laurel Canyon Blvd
Suite 174
Valley Village, CA 91607-3717

Phone

(760) 636-8326

Fax

(760) 775-0776

NPI assigned

Feb 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Superclinic Professionals Medical Corp a California CorporationGroup PAC ID 6507120656, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Superclinic Professionals Medical Corp a California Corporation

  • Multi-Specialty Clinic/Center
  • North Hollywood, CA
  • NPI 1326564212
  Medicare reassignment Care Compare group NPD
• Rotman Medical Corporation

  • Preferred Provider Organization
  • Indio, CA
  • NPI 1053590422
  NPD (past) Authorized official
• Eisenhower Medical Center

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)
• JFK Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Indio, CA
  • NPI 1477584993
  NPD (past)
• Regal Medical Group, Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1588748073
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1508900887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 LAUREL CANYON BLVD",
            "address_2": "SUITE 174",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073717",
            "telephone_number": "760-636-8326",
            "fax_number": "760-775-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 LAUREL CANYON BLVD",
            "address_2": "SUITE 174",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073717",
            "telephone_number": "760-636-8326",
            "fax_number": "760-775-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTMAN",
        "first_name": "ARON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G73976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Rodriguez
• Genesis Samantha Rodriguez
• Alexandria Marie Rogers
• Inga Roizman, RADT-II
• Jeanine Ann Roose, PH.D.
• Leah Rubenstein, M.S. CCC-SLP
• Steven Rubin
• Kenneth Rudnicki
• S and I Royal Clinic Inc
• Chrisa Sadd, LMFT

• Internal Medicine Physician in Valley Village, CA
• Providers in Valley Village, 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 Aug 3, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.