Individual provider Active NPI

Rory L. Butler, PA

  • Medical Physician Assistant
  • Bell Gardens, CA
National Provider Identifier
1689872590
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA13360 Issued in CA
Practice address
6501 Garfield Ave
Bell Gardens, CA 90201-1805
Phone
(562) 928-9600
NPI assigned
Jul 3, 2007
Last updated
Apr 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA13360 CA Primary

Addresses

Primary practice location

6501 Garfield Ave
Bell Gardens, CA 90201-1805

Mailing address

6501 Garfield Ave
Bell Gardens, CA 90201-1805
Phone (562) 928-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080219000784 CA Practitioner - Physician Assistant 0648354365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4425 S Central Ave
Los Angeles, CA 90011-3629
Phone (323) 908-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13360CAMDOccupational Therapist
PA13360CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Family Health Center CurrentSince Jan 24, 2025 Accepting new patients
Greater Los Angeles Oncology Medical Corporation Past Accepting new patients
South Central Family Health Center Past Accepting new patients

Locations

2680 Saturn Ave
Huntington Pk, CA 90255
Phone (323) 585-6262

3410 Hooper Ave
Los Angeles, CA 90011

4425 S Central Ave
Los Angeles, CA 90011

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rory.butler.p1@direct.scfhc.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1689872590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 GARFIELD AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902011805",
            "telephone_number": "562-928-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 GARFIELD AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902011805",
            "telephone_number": "562-928-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "RORY",
        "middle_name": "L.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA13360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell Gardens, CA

Sources for this page

Verify at the official NPI Registry.