Individual provider Active NPI

Alexander Emanuel Rothis, MD

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1548473283
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G81849 Issued in CA
Practice address
2238 Jeffersonia Way
Los Angeles, CA 90049-1818
Phone
(310) 440-9160
Fax
(310) 440-9160
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G81849 CA Primary

Addresses

Primary practice location

2238 Jeffersonia Way
Los Angeles, CA 90049-1818

Mailing address

2238 Jeffersonia Way
Los Angeles, CA 90049-1818
Phone (310) 440-9160

Other identifiers 1

IdentifierTypeStateIssuer
00G818490OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040326001403 CA Practitioner - AnesthesiologyPractitioner - Internal MedicinePractitioner - Other (Physician) 8426940131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G81849CAMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1548473283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 JEFFERSONIA WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491818",
            "telephone_number": "310-440-9160",
            "fax_number": "310-440-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 JEFFERSONIA WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491818",
            "telephone_number": "310-440-9160",
            "fax_number": "310-440-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHIS",
        "first_name": "ALEXANDER",
        "middle_name": "EMANUEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G81849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G818490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.