Organization Active NPI

Rover Medical Group West PC

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1669397477
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROVER MEDICAL GROUP WEST PC
Practice address
1301 N Broadway Ste 92829
Los Angeles, CA 90012-1408
Phone
(914) 650-3855
NPI assigned
Aug 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Emma Griffith
Title
Authorized Official
Phone
(914) 650-3855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1301 N Broadway Ste 92829
Los Angeles, CA 90012-1408

Mailing address

1301 N Broadway Ste 92829
Los Angeles, CA 90012-1408

National Provider Directory

National Provider Directory

Locations

1301 N Broadway
Ste 92829
Los Angeles, CA 90012

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1669397477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N BROADWAY STE 92829",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N BROADWAY STE 92829",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121408",
            "telephone_number": "914-650-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROVER MEDICAL GROUP WEST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "914-650-3855"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 11, 2026; 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.