LAURA JO ROTH (NPI# 1114432317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114432317 |
| Entity Type | Individual |
| Full Name | LAURA JO ROTH |
| Other Name | DR. LAURA JO ROTH-SHOFRON |
| Credential | PSYCHOLOGIST |
| Practice Address |
4300 Long Beach Blvd Long Beach CA 90807-2011 |
| Mailing Address |
90 Vantis Dr Unit 2070 Aliso Viejo CA 92656-2507 |
| Practice Telephone | 5622944024 |
| Mailing Telephone | 9493004623 |
| Mailing Fax Number | 9493004623 |
| Enumeration Date | 2017-12-10 |
| Last Update Date | 2017-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY12823 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528368115 | Laura Roth | Social Worker | 278 N Union St, Suite 112, Lambertville, NJ 08530-1506 | 2010-10-28 |
| 1770709842 | Laura Roth | Speech-Language Pathologist | 311 E 92nd St, Apt 4e, New York, NY 10128-5452 | 2007-04-17 |
| 1558981043 | Laura Roth | Counselor | 525 E Uintah St, Colorado Springs, CO 80903-2514 | 2020-04-24 |
| 1366583080 | Laura A Roth | Home Health | 47 Humphrey Dr, Syosset, NY 11791-4022 | 2007-02-08 |
| Street Address |
4300 LONG BEACH BLVD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173107 | Marlene Rocha Farooq | Family Medicine | 4300 Long Beach Blvd, Suite 410, Long Beach, CA 90807-2011 | 2005-06-12 |
| 1588149967 | Camryn Nguyen | Speech-Language Pathologist | 4300 Long Beach Blvd, Long Beach, CA 90807-2011 | 2018-10-01 |
| 1861929937 | Doris Sandoval | Durable Medical Equipment & Medical Supplies | 4300 Long Beach Blvd, Long Beach, CA 90807-2011 | 2017-05-19 |
| 1700325248 | Pacific Psych Solutions Inc | Psychologist | 4300 Long Beach Blvd, Ste 340, Long Beach, CA 90807-2011 | 2017-02-16 |
| 1679959803 | Vanessa Gaytan | Counselor | 4300 Long Beach Blvd, Suite 700, Long Beach, CA 90807-2011 | 2015-08-11 |
| 1548646474 | Rick Velasco | Case Manager/Care Coordinator | 4300 Long Beach Blvd, Suite 700, Long Beach, CA 90807-2011 | 2015-08-03 |
| 1508241811 | Jaenai Rodriguez | Counselor | 4300 Long Beach Blvd, Suite 700, Long Beach, CA 90807-2011 | 2015-07-28 |
| 1447638739 | Vanessa Hernandez Jimenez | Case Manager/Care Coordinator | 4300 Long Beach Blvd, Suite 700, Long Beach, CA 90807-2011 | 2015-05-07 |
| 1770984619 | Marji Elizabeth Peterson | Marriage & Family Therapist | 4300 Long Beach Blvd, Suite 700, Long Beach, CA 90807-2011 | 2014-09-10 |
| 1386075802 | Jacy Taylor | Case Manager/Care Coordinator | 4300 Long Beach Blvd, Long Beach, CA 90807-2011 | 2013-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154791 | Eric Houston | Psychologist | 3906 Hathaway Ave, Long Beach, CA 90815-5125 | 2020-05-06 |
| 1003448218 | Julie Goalwin, Ph.d. A Psychological Corporation | Psychologist | 115 Pine Ave Ste 640, Long Beach, CA 90802-4452 | 2020-02-05 |
| 1730654401 | Nicholas Brown | Psychologist | 5901 E. 7th Street (06/116b), Long Beach, CA 90822 | 2018-10-09 |
| 1194208983 | Tiffany Danielle Sickler | Psychologist | 4201 Long Beach Blvd Ste 409, Long Beach, CA 90807-2022 | 2018-09-08 |
| 1639656036 | Heights Wellness, Inc | Psychologist | 440 Redondo Ave Ste 104, Long Beach, CA 90814-5144 | 2018-07-27 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1699135558 | Margo Frost Watson | Psychologist | 270 San Remo Dr, Long Beach, CA 90803-3620 | 2016-03-04 |
| 1336506997 | Heights Center for Counseling and Wellness, Inc | Psychologist | 440 Redondo Ave Ste 103, Long Beach, CA 90814-5143 | 2016-01-26 |
| 1619373008 | Corina Reyes Lopez | Psychologist | 5901 E 7th St # 6116b, Long Beach, CA 90822-5201 | 2014-11-12 |
| 1841695129 | Sherri Nielsen | Psychologist | 1539 Harbor Ave, Long Beach, CA 90813-1322 | 2014-10-28 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on LAURA JO 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.