Active NPI
Roberto Roizenblatt MD, Professional Corporation
- Retina Specialist (Ophthalmology) Physician
- Long Beach, CA
National Provider Identifier
1821669300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- Legal business name
- ROBERTO ROIZENBLATT MD, PROFESSIONAL CORPORATION
- Practice address
- 3828 Schaufele Ave Ste 360
Long Beach, CA 90808-1793 - Phone
- (562) 444-8504
- Fax
- (562) 363-0685
- NPI assigned
- Jul 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberto Roizenblatt, MD
- Title
- Owner
- Phone
- (562) 984-7024
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | Primary |
Addresses
Primary practice location
3828 Schaufele Ave Ste 360
Long Beach, CA 90808-1793
Mailing address
2051 Edgewood Dr
South Pasadena, CA 91030-3919
Phone (310) 601-0603
Other names 1
- Long Beach Retina
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3828 Schaufele Ave
Ste 360
Long Beach, CA 90808
Phone (562) 444-8504
Interoperability endpoints
- rroizenblatt@lbr.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Retina Specialist (Ophthalmology) Physician
- Long Beach, CA
- NPI 1952564064
-
- Plastic Surgery Physician
- Long Beach, CA
- NPI 1194967240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715126400000",
"number": "1821669300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 EDGEWOOD DR",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910303919",
"telephone_number": "310-601-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3828 SCHAUFELE AVE STE 360",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081793",
"telephone_number": "562-444-8504",
"fax_number": "562-363-0685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTO ROIZENBLATT MD, PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-07",
"last_updated": "2024-05-08",
"certification_date": "2024-02-05",
"status": "A",
"authorized_official_last_name": "ROIZENBLATT",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-984-7024",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Retina Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Long Beach Retina",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.