Active NPI
Roger Townsend, MD
- Anesthesiology Physician
- Laguna Beach, CA
National Provider Identifier
1982659876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G17454
- Practice address
- 31872 Coast Hwy
Laguna Beach, CA 92651-6773 - Phone
- (949) 499-7192
- Fax
- (949) 499-7137
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G17454 | CA | Primary |
Addresses
Primary practice location
31872 Coast Hwy
Laguna Beach, CA 92651-6773
Mailing address
27401 Los Altos
Suite 180
Mission Viejo, CA 92691-6316
Phone (949) 582-9624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G174540 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G17454 | CA | MD | Anesthesiology Physician |
| 17454 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1982659876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27401 LOS ALTOS",
"address_2": "SUITE 180",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916316",
"telephone_number": "949-582-9624",
"fax_number": "949-582-9626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31872 COAST HWY",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926516773",
"telephone_number": "949-499-7192",
"fax_number": "949-499-7137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNSEND",
"first_name": "ROGER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G17454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G174540",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.