Trauma & Critical Care SFV Group Inc

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

G84133 Issued in CA

Legal business name

TRAUMA & CRITICAL CARE SFV GROUP INC

Practice address

11550 Indian Hills Road
Suite 310
Mission Hills, CA 91345

Phone

(818) 898-4900

NPI assigned

Jul 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Bradley RothNPI 1699709048

Title

President

Phone

(818) 898-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley J Roth, MD

  • Trauma Surgery Physician
  • Mission Hills, CA
  • NPI 1699709048
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1942588868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS ROAD",
            "address_2": "SUITE 310",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-898-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS ROAD",
            "address_2": "SUITE 310",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-898-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA & CRITICAL CARE SFV GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-898-4900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "G84133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESIDENT MEDICAL LICENSE",
            "identifier": "G84133",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Torres, M.S.
• Michelle Blanco Torres
• Nancy Carina Torres, LCSW
• Total Care Healthcare Services Inc
• Total Family Support Clinic
• Tri City Dermatology a Medical Corporation
• Tri Valley Neurology Medical Associates Inc.
• Triumph Specialties LLC (Triumph Specialties)
• Hripsime Trtatyan, CSW
• Lawrence S Trudgeon, DDS

• Trauma Surgery Physician in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Trauma Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.