NPIMap

Organization Active NPI

Alfred J Rothman M D Prof Corp

  • Family Medicine Physician
  • Berkeley, CA
National Provider Identifier
1962720912
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C351770 Issued in CA
Legal business name
ALFRED J ROTHMAN M D PROF CORP
Practice address
3021 Dana St
Berkeley, CA 94705-2073
Phone
(510) 845-2422
Fax
(510) 845-7820
NPI assigned
May 13, 2010
Last updated
Aug 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Alfred Rothman, MDNPI 1609810118
Title
Owner
Phone
(510) 845-2422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C351770 CA Primary

Addresses

Primary practice location

3021 Dana St
Berkeley, CA 94705-2073

Mailing address

3021 Dana St
Berkeley, CA 94705-2073
Phone (510) 845-2422

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1962720912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 DANA ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052073",
            "telephone_number": "510-845-2422",
            "fax_number": "510-845-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 DANA ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052073",
            "telephone_number": "510-845-2422",
            "fax_number": "510-845-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED J ROTHMAN M D PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-845-2422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C351770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.