GERALD M ROTH (NPI# 1740227594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740227594 |
| Entity Type | Individual |
| Full Name | GERALD M ROTH |
| Credential | MD |
| Practice Address |
2202 Wilshire Blvd Santa Monica CA 90403-5706 |
| Mailing Address |
Dept La 21559 Pasadena CA 91185-1559 |
| Practice Telephone | 3102649000 |
| Practice Fax Number | 3102649004 |
| Mailing Telephone | 9492638620 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G76013 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G670130 | 05 | |
| CA | BLUE SHIELD OF CA | 00G760130 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255654208 | Gerald H Roth | Chiropractor | 325 Crowells Rd Apt B, Highland Park, NJ 08904-3346 | 2010-03-04 |
| 1093924987 | Gerald James Roth | General Acute Care Hospital | 952 21st Ave E, Seattle, WA 98112-3511 | 2007-05-21 |
| 1255490322 | Gerald B. Roth | Family Medicine | 7885 N Oracle Rd, Tucson, AZ 85704-6348 | 2006-12-06 |
| Street Address |
2202 WILSHIRE BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326023516 | Debra F. Mund | Radiology | 2202 Wilshire Blvd, Santa Monica, CA 90403-5706 | 2005-12-09 |
| 1639494784 | John Patrick Curtis Gonzales | Radiology | 2202 Wilshire Blvd, Santa Monica, CA 90403-5706 | 2010-04-01 |
| 1902848914 | Peter W Joyce | Radiology | 2202 Wilshire Blvd, Santa Monica, CA 90403-5706 | 2006-06-12 |
| 1689613408 | Daniel Kirsch | Radiology | 2202 Wilshire Blvd, Santa Monica, CA 90403-5706 | 2006-06-06 |
| 1538108717 | Nhan Tran | Radiology | 2202 Wilshire Blvd, Santa Monica, CA 90403-5706 | 2006-06-05 |
| 1093754103 | Vicki L. Schiller | Radiology | 2202 Wilshire Blvd, Santa Monica, CA 90403-5706 | 2006-06-05 |
| 1316984958 | Richard L Goldman | Radiology | 2202 Wilshire Blvd, Santa Monica, CA 90403-5706 | 2006-06-01 |
| 1497792030 | Robert K Gray | Radiology | 2202 Wilshire Blvd, Santa Monica, CA 90403-5706 | 2006-06-01 |
| 1588619928 | Bruce Yawitz | Radiology | 2202 Wilshire Blvd, Santa Monica, CA 90403-5706 | 2006-05-24 |
| 1609821057 | Anil Wadhwani | Radiology | 2202 Wilshire Blvd, Santa Monica, CA 90403-5706 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184987513 | Jeffrey Rappleye | Radiology | 2336 Santa Monica Blvd Ste 206, Santa Monica, CA 90404-2938 | 2012-06-20 |
| 1689953648 | John M Uszler Md A Medical Corporation | Radiology | 1243 Franklin St, Unit 1, Santa Monica, CA 90404 | 2011-08-09 |
| 1710159447 | Jane Dascalos | Radiology | 1245 16th St Ste 100, Santa Monica, CA 90404-1255 | 2008-04-02 |
| 1497942106 | Panayota S Roumanis | Radiology | 1420 5th St Apt 604, Santa Monica, CA 90401-4414 | 2007-09-26 |
| 1184814006 | Andrew Paul Thierry | Radiology | 492 E Channel Rd, Santa Monica, CA 90402-1339 | 2007-07-26 |
| 1750595682 | Farhad Keliddari | Radiology | 837 18th St, Unit 1, Santa Monica, CA 90403-6710 | 2007-05-10 |
| 1124161872 | Lloyd David Wagner | Radiology | 223 24th St, Santa Monica, CA 90402-2515 | 2007-02-14 |
| 1730192063 | Bryan L. Winkler | Radiology | 834 2nd St, Apt. 14, Santa Monica, CA 90403 | 2006-08-15 |
| 1487684379 | Robert Burnham Lufkin | Radiology | 2461 Santa Monica Blvd # 108, Santa Monica, CA 90404-2138 | 2006-07-04 |
| 1518995141 | Edward Zaragoza | Radiology | 1250 16th St # 2340, Santa Monica, CA 90404-1249 | 2006-06-30 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
Please comment or provide details below to improve the information on GERALD M ROTH.
| 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.