Edward B Rogers Jr., M.T

Primary specialty

SpecialistTaxonomy code 174400000X

License

60893 Issued in CA

Practice address

3821 Atlantic Ave
Suite F
Long Beach, CA 90807-3534

Phone

(562) 940-5450

Fax

(562) 424-3235

NPI assigned

Jul 20, 2016

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

Practice roles

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.

• Secrets of the Island

  • Contractor
  • Long Beach, CA
  • NPI 1720439755
  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1558714923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 ATLANTIC AVE",
            "address_2": "SUITE F",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073534",
            "telephone_number": "562-940-5450",
            "fax_number": "562-424-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 ATLANTIC AVE",
            "address_2": "SUITE F",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073534",
            "telephone_number": "562-940-5450",
            "fax_number": "562-424-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "EDWARD",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "M.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "60893",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "60893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna Roffers
• Mohsen Rofoogaran, DO
• Rogachevsky Marriage and Family Therapy
• Roger a. Christensen Inc.
• Roger Y Takla M.D. Inc.
• Joanna Rogers
• Latonia Rogers
• Samantha B Rogers
• Baylee Marie Roggero
• Stephanie Anne Rohr, CRNA

• Specialist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.