Individual provider Active NPI

Augusto Rojas, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1821186958
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A-41262 Issued in CA
Practice address
11961 Venice Blvd
Los Angeles, CA 90066-3905
Phone
(310) 391-7143
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X A-41262 CA Primary

Addresses

Primary practice location

11961 Venice Blvd
Los Angeles, CA 90066-3905

Mailing address

11961 Venice Blvd
Los Angeles, CA 90066-3905
Phone (310) 391-7143

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041211000207 CA Practitioner - Family Practice 1052378098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11961 Venice Blvd
Los Angeles, CA 90066-3905
Phone (310) 391-7143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A-41262CAMDSports Medicine (Family Medicine) Physician
41262CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Venice Beach Surgical Center Current Accepting new patients
Ocean View Specialists Medical and Surgical Group Current Accepting new patients
Augusto Rojas M.D, Inc CurrentSince May 5, 2008 Accepting new patients

Locations

11961 Venice Blvd
Los Angeles, CA 90066
Phone (310) 313-0800

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821186958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11961 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663905",
            "telephone_number": "310-391-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11961 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663905",
            "telephone_number": "310-391-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "AUGUSTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A-41262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.