AMY ROACH (NPI# 1770079006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770079006 |
| Entity Type | Individual |
| Full Name | AMY ROACH |
| Credential | MD |
| Practice Address |
8700 Beverly Blvd # 8215nt West Hollywood CA 90048-1804 |
| Practice Telephone | 3104236637 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154861508 | Amy Roach | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2017-03-05 |
| 1932437480 | Amy M Roach | Physician Assistant | 1307 Federal St, Suite 300, Pittsburgh, PA 15212-4769 | 2009-11-20 |
| 1265684757 | Amy J Roach | Physical Therapist | 205 Parker St, Boscobel, WI 53805-1642 | 2008-10-16 |
| Street Address |
8700 BEVERLY BLVD # 8215NT |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90048-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637907 | Christopher Mayer | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Ste 3636, West Hollywood, CA 90048-1804 | 2020-04-10 |
| 1144859448 | Michael Kozak | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd # 8709, West Hollywood, CA 90048-1804 | 2020-04-07 |
| 1235648940 | Kevin Maghami | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Dept 4, West Hollywood, CA 90048-1804 | 2017-09-26 |
| 1225547235 | Richard Rhett Roberts | Student in an Organized Health Care Education/Training Program | 1266 N Laurel Ave Apt 9, West Hollywood, CA 90046-5123 | 2017-09-21 |
| 1932620432 | Jing Xu | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Rm 8709, West Hollywood, CA 90048-1804 | 2017-07-05 |
| 1023495314 | Nilly Shechter | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd # B105-a, West Hollywood, CA 90048-1804 | 2015-05-06 |
| 1982022182 | Amena Usmani | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Ste 8709, West Hollywood, CA 90048-1804 | 2014-04-03 |
| 1366799868 | Aaron Parrish | Student in an Organized Health Care Education/Training Program | 8737 Beverly Blvd Ste 101, West Hollywood, CA 90048 | 2012-08-14 |
| 1912285677 | Sundararajan Venkatadriagaram | Student in an Organized Health Care Education/Training Program | 1215 N Olive Dr, Unit 404, West Hollywood, CA 90069-2765 | 2011-07-29 |
| 1689984130 | Daniel Delgadillo IIi | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Ste 8215nt, West Hollywood, CA 90048-1804 | 2010-10-18 |
| Find all providers in WEST HOLLYWOOD | ||||
| City | WEST HOLLYWOOD |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on AMY ROACH.
| 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.