Active NPI
Alfred Joseph Rothman, M.D.
- Family Medicine Physician
- Berkeley, CA
National Provider Identifier
1609810118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C35177
- Practice address
- 3021 Dana St
Berkeley, CA 94705-2041 - Phone
- (510) 845-2422
- Fax
- (510) 845-7820
- NPI assigned
- Jun 15, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C35177 | CA | Primary |
Addresses
Primary practice location
3021 Dana St
Berkeley, CA 94705-2041
Mailing address
3021 Dana St
Berkeley, CA 94705-2041
Phone (510) 845-2422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C35177 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1609810118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 DANA ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052041",
"telephone_number": "510-845-2422",
"fax_number": "510-845-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 DANA ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052041",
"telephone_number": "510-845-2422",
"fax_number": "510-845-7820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHMAN",
"first_name": "ALFRED",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C35177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.