JACK STUART ROTENBERG (NPI# 1730100124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730100124 |
| Entity Type | Individual |
| Full Name | JACK STUART ROTENBERG |
| Credential | MD |
| Practice Address |
2241 Wankel Way Ste. A. Oxnard CA 93030-0190 |
| Practice Telephone | 8059830521 |
| Practice Fax Number | 8059834186 |
| Mailing Telephone | 8059830521 |
| Mailing Fax Number | 8059834186 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A24099 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TRICARE | 953053865 | 01 |
| CA | ZZZ76011Z | 05 |
| Street Address |
2241 WANKEL WAY STE. A. |
| City | OXNARD |
| State | CA |
| Zip Code | 93030-0190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568422350 | Esam Obed | Internal Medicine | 2241 Wankel Way, Ste C, Oxnard, CA 93030-0190 | 2006-03-24 |
| 1316120157 | Sukhpreet Singh Walia | Internal Medicine | 2241 Wankel Way, Ste A, Oxnard, CA 93030-0191 | 2007-12-16 |
| 1548384167 | Karen Simon | Specialist | 2241 Wankel Way, Suite A, Oxnard, CA 93030 | 2007-03-19 |
| 1336156207 | Paul M. Sanchez | Internal Medicine | 2241 Wankel Way, Ste. A., Oxnard, CA 93030-0190 | 2006-08-02 |
| 1184648933 | John C. Billesdon | Internal Medicine | 2241 Wankel Way, Ste. A., Oxnard, CA 93030-0190 | 2006-07-26 |
| 1174554620 | Ventura County Gastroenterology Medical Grp Inc | Internal Medicine | 2241 Wankel Way, Ste A, Oxnard, CA 93030-0191 | 2006-07-05 |
| 1770527608 | Richard Daniel Brand | Internal Medicine | 2241 Wankel Way, Suite B, Oxnard, CA 93030-0190 | 2006-06-14 |
| 1710948112 | Fanping Wang | Internal Medicine | 2241 Wankel Way, Ste C, Oxnard, CA 93030-0190 | 2006-03-28 |
| 1275594657 | Khamaj Dave | Internal Medicine | 2241 Wankel Way, Ste C, Oxnard, CA 93030-0190 | 2006-03-28 |
| 1700847126 | Richard B Rothschild | Internal Medicine | 2241 Wankel Way, Ste C, Oxnard, CA 93030-0190 | 2006-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599741 | Perla Ivette Romero | Dietitian, Registered | 1006 Vaquero Dr, Oxnard, CA 93030 | 2020-08-20 |
| 1649797432 | Scott Andrew Lessin | Marriage & Family Therapist | 1425 Vaquero Dr, Oxnard, CA 93030 | 2017-08-23 |
| 1881118974 | Abraham Ambriz | Counselor | 1212 Vaquero Cir, Oxnard, CA 93030 | 2017-07-31 |
| 1164944088 | Kiana Marie Gleason | Specialist/Technologist | 1611 Ebony Dr., Oxnard, CA 93030 | 2017-07-12 |
| 1740721067 | Jaymi Kathleen Stevens | Marriage & Family Therapist | 410 N. A St, Oxnard, CA 93030 | 2017-03-20 |
| 1386023984 | Jessica Marie Lopez | Specialist | 930 Nottingham Drive, Oxnard, CA 93030 | 2015-05-28 |
| 1902204803 | Nicolas Dejong | Specialist/Technologist | 1751 Lombard St Ste A, Oxnard, CA 93030 | 2014-12-09 |
| 1447688924 | Jerry L Lanier, Dds, Inc | Dentist | 1200 Saviers Rd, Oxnard, CA 93030 | 2013-10-21 |
| 1760820104 | Kevin Brian Janeway | Counselor | 426 W. 5th Street, Oxnard Clubhouse, Oxnard, CA 93030 | 2013-06-07 |
| 1396095477 | County of Ventura | Clinic/Center | 800 Morado Place, Oxnard, CA 93030 | 2012-09-14 |
| Find all providers in zip 93030 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962557991 | Cecilio M. Cabansag Md Inc | Internal Medicine | 991 W 7th St, Oxnard, CA 93030-6757 | 2007-01-23 |
| 1003918459 | Constante U Abaya | Internal Medicine | 1200 N Ventura Rd, # C, Oxnard, CA 93030 | 2006-09-05 |
| 1023056850 | Donald Miller | Internal Medicine | 2241 Wankel Way Ste A, Oxnard, CA 93030 | 2006-06-03 |
| 1689936866 | Constante U. Abaya A Professional Corporation | Internal Medicine | 1200 N Ventura Rd, Suite C, Oxnard, CA 93030-3863 | 2012-06-13 |
| 1093035917 | Keval Dipak Shah | Internal Medicine | 2241 Wankel Way Ste A, Oxnard, CA 93030-0191 | 2010-06-02 |
| 1417144809 | Cecilio M Cabansag | Internal Medicine | 991 W 7th St, Oxnard, CA 93030-6757 | 2007-09-28 |
| 1336156207 | Paul M. Sanchez | Internal Medicine | 2241 Wankel Way, Ste. A., Oxnard, CA 93030-0190 | 2006-08-02 |
| 1184648933 | John C. Billesdon | Internal Medicine | 2241 Wankel Way, Ste. A., Oxnard, CA 93030-0190 | 2006-07-26 |
| 1174554620 | Ventura County Gastroenterology Medical Grp Inc | Internal Medicine | 2241 Wankel Way, Ste A, Oxnard, CA 93030-0191 | 2006-07-05 |
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| 1598399917 | Indraneel Chakrabarty, Md Inc. | Internal Medicine | 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | 2020-02-25 |
| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.