Bonnie L Rotheiser, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

19590 Issued in CA

Practice address

23123 Ventura Blvd
Suite 105
Woodland Hills, CA 91364-1165

Phone

(818) 591-0656

Fax

(818) 591-7326

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1982733390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23123 VENTURA BLVD",
            "address_2": "SUITE 105",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641165",
            "telephone_number": "818-591-0656",
            "fax_number": "818-591-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23123 VENTURA BLVD",
            "address_2": "SUITE 105",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641165",
            "telephone_number": "818-591-0656",
            "fax_number": "818-591-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHEISER",
        "first_name": "BONNIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "19590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internist Chiropractor in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Internist Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.