Roger E. Der, M.D., Inc.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

ROGER E. DER, M.D., INC.

Practice address

23845 McBean Pkwy
Valencia, CA 91355-2001

Phone

(661) 253-8504

Fax

(661) 253-8647

NPI assigned

Sep 9, 2005

Organization subpart

No

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

Authorized official

Name

Roger E Der, M.D.

Title

President

Phone

(661) 253-8504

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1750375358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2311",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913132311",
            "telephone_number": "818-718-9500",
            "fax_number": "818-718-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23845 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552001",
            "telephone_number": "661-253-8504",
            "fax_number": "661-253-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER E. DER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "DER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-253-8504",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A657530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Rodrigues, MS
• Hector Hugo Rodriguez Rivera
• Iman Michelle Rodriguez-Verdel, OD
• Alyssa Rodriguez
• Samantha Rodriguez
• Chante Rogers
• Walter Rogoff, M.D.
• Jeremy Rodil Romero Munguia
• Andrew D Romero
• Dora Maria Romero

• Anatomic Pathology & Clinical Pathology Physician in Valencia, CA
• Providers in Valencia, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.