Active NPI
Friedrich Roessler, M.D., Inc.
- Anesthesiology Physician
- Los Angeles, CA
National Provider Identifier
1962752675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A60680
- Legal business name
- FRIEDRICH ROESSLER, M.D., INC.
- Practice address
- 4081 E Olympic Blvd
Los Angeles, CA 90023-3330 - Phone
- (323) 267-0477
- NPI assigned
- Sep 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Friedrich C. Roessler, M.D .
- Title
- Authorized Official
- Phone
- (626) 795-6596
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A60680 | CA | Primary |
Addresses
Primary practice location
4081 E Olympic Blvd
Los Angeles, CA 90023-3330
Mailing address
PO Box 2757
Orange, CA 92859-0757
Phone (714) 973-2650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A606801 | Medicaid | CA | |
| A60680A | Other | CA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1211 W La Palma Ave
Ste 209
Anaheim, CA 92801
Phone (714) 398-8180
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Anaheim, CA
- NPI 1174693337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440115200000",
"number": "1962752675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2757",
"city": "ORANGE",
"state": "CA",
"postal_code": "928590757",
"telephone_number": "714-973-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4081 E OLYMPIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900233330",
"telephone_number": "323-267-0477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIEDRICH ROESSLER, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-11",
"last_updated": "2015-08-21",
"status": "A",
"authorized_official_last_name": "ROESSLER",
"authorized_official_first_name": "FRIEDRICH",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "626-795-6596",
"authorized_official_credential": "M.D ."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A60680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A606801",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "A60680A",
"state": "CA"
}
],
"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 21, 2015; 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.