Organization Active NPI

Rocdocs a Professional Medical Corporation

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1942724778
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A65423 Issued in CA
Legal business name
ROCDOCS A PROFESSIONAL MEDICAL CORPORATION
Practice address
1127 Wilshire Blvd Ste 1000
Los Angeles, CA 90017-4001
Phone
(310) 882-3884
Fax
(562) 318-3048
NPI assigned
Aug 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Mr. Derek Tan Dee, MD
Title
President
Phone
(310) 408-5345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A78281 CA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A65423 CA Primary

Addresses

Primary practice location

1127 Wilshire Blvd Ste 1000
Los Angeles, CA 90017-4001

Mailing address

1127 Wilshire Blvd Ste 1000
Los Angeles, CA 90017-4001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1942724778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174001",
            "telephone_number": "310-882-3884",
            "fax_number": "562-318-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCDOCS A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "DEE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-408-5345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A78281",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A65423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.