Active NPI
Tomer Abraham Roth, MD
- Diagnostic Radiology Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 241668-1
- Practice address
- 10666 N Torey Pines Rd
100C
La Jolla, CA 92037 - Phone
- (858) 554-2626
- NPI assigned
- Oct 22, 2008
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 241668-1 | NY | Primary |
Addresses
Primary practice location
10666 N Torey Pines Rd
100C
La Jolla, CA 92037
Mailing address
10790 Rancho Bernardo Rd # 4S-205
San Diego, CA 92127-5705
Phone (858) 605-7171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A1126780 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Northwestern University Feinberg Medical School, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241668-1 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intellirad Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
10790 Rancho Bernardo Rd
#4S205
San Diego, CA 92127
Phone (858) 605-7171
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- troth356886@scrippshlth.medalliesdirect.net
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1073859484
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- General Acute Care Hospital
- Plantation, FL
- NPI 1063466589
-
- General Acute Care Hospital
- Miami, FL
- NPI 1710931522
-
- General Acute Care Hospital
- Aventura, FL
- NPI 1407801673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1528210416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD # 4S-205",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-605-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10666 N TOREY PINES RD",
"address_2": "100C",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-554-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "TOMER",
"middle_name": "ABRAHAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-22",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "241668-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0A1126780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.