Individual provider Active NPI

Sergio E Rojter, M.D.

  • Hepatology Physician
  • Los Angeles, CA
National Provider Identifier
1891716494
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
A63254 Issued in CA
Practice address
1245 Wilshire Blvd Ste 770
Los Angeles, CA 90017-4881
Phone
(310) 250-3344
Fax
(310) 297-4477
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hepatology Physician 207RI0008X A63254 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd Ste 770
Los Angeles, CA 90017-4881

Mailing address

1245 Wilshire Blvd Ste 770
Los Angeles, CA 90017-4881
Phone (310) 914-9150

Other identifiers 1

IdentifierTypeStateIssuer
00A632540MedicaidCA

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
I20040213000428 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 9537053145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sergio E Rojter MD a Professional CorporationGroup PAC ID 3476447186, 2 clinicians

Practice addresses (Care Compare)

1245 Wilshire Blvd
Suite 707
Los Angeles, CA 90017-4807
Phone (213) 250-3344

Hospital & facility affiliations

  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63254CAMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sergio E Rojter M D a Professional Corporation Hepatology CurrentSince Jan 1, 2004 Accepting new patients
Larry T Khoo MD Inc PastSince Jul 16, 2023 Accepting new patients

Locations

1245 Wilshire Blvd
Ste 707
Los Angeles, CA 90017
Phone (213) 250-3344

1245 Wilshire Blvd
Ste 770
Los Angeles, CA 90017
Phone (213) 250-3344

1828 E Cesar E Chavez Ave
Ste 6200
Los Angeles, CA 90033
Phone (213) 328-0819

18370 Burbank Blvd
Ste 504
Tarzana, CA 91356
Phone (818) 345-0664

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1891716494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 770",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174881",
            "telephone_number": "310-914-9150",
            "fax_number": "310-914-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 770",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174881",
            "telephone_number": "310-250-3344",
            "fax_number": "310-297-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJTER",
        "first_name": "SERGIO",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "CA",
            "license": "A63254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A632540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.