Rebecca T Rootlieb, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A77721 Issued in CA

Practice address

1100 S Coast Hwy Ste 214
Laguna Beach, CA 92651-2975

Phone

(949) 371-3336

Fax

(949) 289-9170

NPI assigned

Dec 18, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Valley Community Health Center, Inc.

  dba East Valley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • West Covina, CA
  • NPI 1831243625
  Medicare reassignment NPD
• East Valley Community Health Center, Inc.

  dba East Valley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Pomona, CA
  • NPI 1649324443
  NPD

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952464216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S COAST HWY STE 214",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512975",
            "telephone_number": "949-371-3336",
            "fax_number": "949-289-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COAST HWY STE 214",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512975",
            "telephone_number": "949-371-3336",
            "fax_number": "949-289-9170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2223 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927033505",
            "country_code": "US",
            "telephone_number": "714-973-9218",
            "fax_number": "714-973-9269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOTLIEB",
        "first_name": "REBECCA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A77721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myriam Rebecca Rodriguez
• Sofia Rodriguez, DDS
• Gabriella Lauren Roemer
• Nataly Romero
• Amir H Ronaghi, M.D.
• Nichole Rosa, PPS
• Dana Rosen, D.C.
• Marianne Ross, PH.D.
• Jorge Rubal, MD, MBA
• Steven Michael Rudy, M.D.

• Family Medicine Physician in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.