Active NPI
Jay Allen Rothman, M.D.
- General Acute Care Hospital
- Huntington Beach, CA
National Provider Identifier
1922110402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- G18582
- Practice address
- 17822 Beach Blvd Ste 373
Huntington Beach, CA 92647-7115 - Phone
- (714) 848-0023
- Fax
- (714) 848-6782
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | G18582 | CA | Primary |
Addresses
Primary practice location
17822 Beach Blvd Ste 373
Huntington Beach, CA 92647-7115
Mailing address
17822 Beach Blvd Ste 373
Huntington Beach, CA 92647-7115
Phone (714) 848-0023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G18582 | CA | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1922110402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17822 BEACH BLVD STE 373",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926477115",
"telephone_number": "714-848-0023",
"fax_number": "714-848-6782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17822 BEACH BLVD STE 373",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926477115",
"telephone_number": "714-848-0023",
"fax_number": "714-848-6782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHMAN",
"first_name": "JAY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "G18582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.