Individual provider Active NPI

Rebecca Margaret Rotenberg, M.D.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1629304118
Registry record updated Dec 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A050009 Issued in CA
Practice address
9437 Oakmore Rd
Los Angeles, CA 90035-4138
Phone
(310) 266-8406
Fax
(310) 496-2758
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A050009 CA Primary

Addresses

Primary practice location

9437 Oakmore Rd
Los Angeles, CA 90035-4138

Mailing address

PO Box 1733
Pacific Palisades, CA 90272-1733
Phone (310) 266-8406

Other identifiers 1

IdentifierTypeStateIssuer
A050009OtherCAMEDICAL BOARD OF CALIFORNIA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.drrebecca.com Other

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A050009CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670630400000",
    "number": "1629304118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1733",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902721733",
            "telephone_number": "310-266-8406",
            "fax_number": "310-496-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9437 OAKMORE RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354138",
            "telephone_number": "310-266-8406",
            "fax_number": "310-496-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTENBERG",
        "first_name": "REBECCA",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2022-12-10",
        "certification_date": "2022-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A050009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A050009",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.drrebecca.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "9437 Oakmore Rd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900354138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2022; 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.