Active NPI
Vanessa Shana Rothholtz MD Inc
- Otolaryngology Physician
- Beverly Hills, CA
National Provider Identifier
1619390887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- VANESSA SHANA ROTHHOLTZ MD INC
- Practice address
- 414 N Camden Dr Ste 975
Beverly Hills, CA 90210 - Phone
- (310) 926-1573
- Fax
- (310) 926-1563
- NPI assigned
- Jan 23, 2014
- Last updated
- Jun 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ariel Weeks
- Title
- Billing Manager
- Phone
- (818) 850-0183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
414 N Camden Dr Ste 975
Beverly Hills, CA 90210
Mailing address
414 N Camden Dr Ste 975
Beverly Hills, CA 90210-4541
Phone (818) 850-0183
Other practice location 1
9461 Charleville Blvd Ste 451
Beverly Hills, CA 90212-3017
Phone (818) 850-0183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2097143 | Vanessa Shana Rothholtz, MD Inc | Accreditation | Mar 22, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Otolaryngology Physician
- Beverly Hills, CA
- NPI 1124299904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560816000000",
"number": "1619390887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 N CAMDEN DR STE 975",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104541",
"telephone_number": "818-850-0183",
"fax_number": "310-201-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N CAMDEN DR STE 975",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90210",
"telephone_number": "310-926-1573",
"fax_number": "310-926-1563"
}
],
"practiceLocations": [
{
"address_1": "9461 Charleville Blvd Ste 451",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902123017",
"country_code": "US",
"telephone_number": "818-850-0183",
"fax_number": "310-201-9665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VANESSA SHANA ROTHHOLTZ MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-23",
"last_updated": "2019-06-18",
"status": "A",
"authorized_official_last_name": "WEEKS",
"authorized_official_first_name": "ARIEL",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "818-850-0183"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.