Organization Active NPI

Ronald D Zlotolow Medical Group Inc

  • Physical Medicine & Rehabilitation Physician
  • Santa Monica, CA
National Provider Identifier
1629466602
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
RONALD D ZLOTOLOW MEDICAL GROUP INC
Practice address
2232 Santa Monica Blvd Ste 101
Santa Monica, CA 90404-2312
Phone
(310) 396-3635
Fax
(310) 396-3615
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Yariv E Rothman
Title
Treasy
Phone
(310) 396-3635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2232 Santa Monica Blvd Ste 101
Santa Monica, CA 90404-2312

Mailing address

2232 Santa Monica Blvd Ste 101
Santa Monica, CA 90404-2312
Phone (310) 396-3635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150615000278 CA Part B Supplier - Clinic/Group Practice 9931410214 Receives reassigned benefits from 4 practitioners
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

318 Lincoln Blvd
Ste 239
Venice, CA 90291
Phone (310) 396-3635

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1629466602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 SANTA MONICA BLVD STE 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042312",
            "telephone_number": "310-396-3635",
            "fax_number": "310-396-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 SANTA MONICA BLVD STE 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042312",
            "telephone_number": "310-396-3635",
            "fax_number": "310-396-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD D ZLOTOLOW MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "YARIV",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREASY",
        "authorized_official_telephone_number": "310-396-3635"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.