Individual provider Active NPI

Johanna Lynn Rosenthal, M.D.

  • Neurology Physician
  • Fullerton, CA
National Provider Identifier
1881741247
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G-40976 Issued in CA
Practice address
1440 N Harbor Blvd Ste 900
Fullerton, CA 92835-4122
Phone
(714) 213-0492
Fax
(714) 870-0002
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G40976 CA
Neurology Physician 2084N0400X G-40976 CA Primary

Addresses

Primary practice location

1440 N Harbor Blvd Ste 900
Fullerton, CA 92835-4122

Mailing address

1440 N Harbor Blvd Ste 900
Fullerton, CA 92835-4122
Phone (714) 213-0492

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
I20040102000747 CA Practitioner - Neurology 2769381318 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
George Washington University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California University of Science and MedicineGroup PAC ID 4880949106, 8 clinicians

Practice addresses (Care Compare)

1440 N Harbor Blvd
Suite 900
Fullerton, CA 92835-4122
Phone (714) 449-3311

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 966-4910

Hospital & facility affiliations

  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G-40976CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Neurology PC Neurology CurrentSince Mar 31, 2018 Accepting new patients
Cep America - Neurology PC Neurology Current Accepting new patients
Cep America - Neurology PC Neurology CurrentSince Mar 31, 2018 Accepting new patients
University of California Irvine Past Accepting new patients
J L Rosenthal MD Inc Neurology PastSince May 1, 2002 Accepting new patients
Cusm Health Neurology PastSince Dec 13, 2020 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Western Pulmonary Medical Group Inc Past Accepting new patients

Locations

400 N Pepper Ave
Ste 308
Colton, CA 92324
Phone (909) 580-1366

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1881741247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 900",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354122",
            "telephone_number": "714-213-0492",
            "fax_number": "714-870-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 900",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354122",
            "telephone_number": "714-213-0492",
            "fax_number": "714-870-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "JOHANNA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G40976",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G-40976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.