Organization Active NPI

Rochelle C Feldman

Doing business as Prima Pediatrics

  • Pediatrics Physician
  • Canyon Country, CA
National Provider Identifier
1568796423
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G32408 Issued in CA
Legal business name
ROCHELLE C FELDMAN
Doing business as
Prima Pediatrics
Practice address
18520 Via Princessa
Suite C2
Canyon Country, CA 91387-8326
Phone
(661) 424-9000
Fax
(661) 424-0808
NPI assigned
Sep 25, 2009
Last updated
Sep 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Dr. Rochelle C Feldman, M.D.NPI 1053368167
Title
Medical Director
Phone
(661) 424-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G32408 CA Primary

Addresses

Primary practice location

18520 Via Princessa
Suite C2
Canyon Country, CA 91387-8326

Mailing address

18520 Via Princessa
Suite C2
Canyon Country, CA 91387-8326
Phone (661) 424-9000

Other identifiers 1

IdentifierTypeStateIssuer
00G324081MedicaidCA

Other names 1

  • Prima Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0967873Rochelle C Feldman MD18520 Via Pricessa C-2, Canyon Country, CA 91387Certificate of waiverMar 7, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1568796423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18520 VIA PRINCESSA",
            "address_2": "SUITE C2",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913878326",
            "telephone_number": "661-424-9000",
            "fax_number": "661-424-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18520 VIA PRINCESSA",
            "address_2": "SUITE C2",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913878326",
            "telephone_number": "661-424-9000",
            "fax_number": "661-424-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHELLE C FELDMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "661-424-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G32408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G324081",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prima Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.