Johanna Rosenthal M.D. Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G40976 Issued in CA

Legal business name

JOHANNA ROSENTHAL M.D. INC.

Practice address

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

Phone

(714) 449-3311

Fax

(714) 870-0002

NPI assigned

Jan 23, 2009

Last updated

Feb 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johanna Lynn Rosenthal, M.D.NPI 1881741247

Title

Ceo

Phone

(714) 213-0492

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johanna Lynn Rosenthal, M.D.

  • Neurology Physician
  • Fullerton, CA
  • NPI 1881741247
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1881832251",
    "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": "714-449-3311",
            "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": "714-449-3311",
            "fax_number": "714-870-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHANNA ROSENTHAL M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-213-0492",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G40976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00G409760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.