Organization Active NPI

Roberto Roizenblatt MD, Professional Corporation

  • Retina Specialist (Ophthalmology) Physician
  • Long Beach, CA
National Provider Identifier
1821669300
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
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

Updated by the provider on May 8, 2024

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

Authorized official

Name
Roberto Roizenblatt, MDNPI 1952564064
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)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210729002320 CA Part B Supplier - Clinic/Group Practice 7012310980 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

3828 Schaufele Ave
Ste 360
Long Beach, CA 90808
Phone (562) 444-8504

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.