MICHAEL DEREK ROTH (NPI# 1235159427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235159427 |
| Entity Type | Individual |
| Full Name | MICHAEL DEREK ROTH |
| Credential | MD |
| Practice Address |
200 Medical Plaza #365,530,420,120 Los Angeles CA 90095 |
| Mailing Address |
5767 W Century Blvd Suite 200 Los Angeles CA 90045-5632 |
| Practice Telephone | 3108256301 |
| Mailing Telephone | 3108258061 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
G53992 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G539920 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326390220 | Michael Stewart Roth | Obstetrics & Gynecology | 2115 Ne 197th Ter, Miami, FL 33179-3127 | 2012-10-03 |
| 1457641110 | Michael Paul Roth | Behavioral Analyst | 3834 Birchwood Cir, Harrisburg, PA 17110-9385 | 2011-04-14 |
| 1093979262 | Michael Scott Roth | Chiropractor | 27 W Columbia St, Hempstead, NY 11550-2410 | 2008-07-16 |
| 1568654044 | Michael Roth | Ophthalmology | 1060 Chestnut St, Ann Arbor, MI 48104-2824 | 2007-08-17 |
| 1124225024 | Michael Donald Roth | Registered Nurse | 11133 Oliver Rd, Mc Kean, PA 16426-2236 | 2007-07-02 |
| 1740405687 | Michael D Roth | Dentist | 403 Washington Lane, Jenkintown, PA 19046 | 2007-04-16 |
| 1396893061 | Michael A Roth | Specialist | 42450 W 12 Mile Rd Ste 205, Novi, MI 48377-3030 | 2007-01-08 |
| 1912954827 | Michael Stuart Roth | Optometrist | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2006-05-27 |
| 1255860029 | Michael Andrew Roth | Anesthesiologist Assistant | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2017-06-06 |
| 1811423957 | Michael Roth | Internal Medicine | Naval Medical Center Portsmouth, 620 John Paul Jones Cir, Portsmouth, VA 23708 | 2017-05-10 |
| Street Address |
200 MEDICAL PLAZA #365,530,420,120 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235107566 | The Regents of The University of California | Internal Medicine | 200 Medical Plaza, Suite 365,530,420,250,120,214, Los Angeles, CA 90095-0001 | 2006-03-11 |
| 1497355366 | Adrienne Elaine Bawa | Registered Nurse | 200 Medical Plaza, Los Angeles, CA 90095-0001 | 2020-10-29 |
| 1164912267 | Alice K Lee | Nurse Practitioner | 200 Medical Plaza, Los Angeles, CA 90095-0001 | 2018-05-14 |
| 1295239895 | James Michael Weinberger | Student in an Organized Health Care Education/Training Program | 200 Medical Plaza, Los Angeles, CA 90095-0001 | 2018-03-20 |
| 1215478847 | Anahita Moshfegh | Audiologist | 200 Medical Plaza, Los Angeles, CA 90095-7006 | 2017-03-15 |
| 1518386796 | Donald Elmore Dietz Iv | Internal Medicine | 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90045-5631 | 2014-04-15 |
| 1760825590 | Connie Huey Lin | Allergy & Immunology | 200 Medical Plaza, # 365, 420, 120, Los Angeles, CA 90024-0001 | 2013-04-11 |
| 1447593645 | Yue Ma | Otolaryngology | 200 Medical Plaza, Ste 550, Los Angeles, CA 90024-0000 | 2013-04-05 |
| 1295098283 | Ingrid Edshteyn | Preventive Medicine | 200 Medical Plaza, Sutie 365,420,120, Los Angeles, CA 90024-0001 | 2012-06-24 |
| 1346506920 | Andrew Mehrdad Vahabzadeh-hagh | Otolaryngology | 200 Medical Plaza, Suite 550, Los Angeles, CA 90024-0000 | 2012-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1497297659 | Jon Bennett Glazier | Internal Medicine | 3343 Mandeville Canyon Rd, Los Angeles, CA 90049-1017 | 2016-11-04 |
| 1144586637 | Jason Hong | Internal Medicine | 200 Ucla Medical Plz Ste 365-b, Los Angeles, CA 90095-8344 | 2012-04-09 |
| 1255651378 | Louis S Park M D Inc | Internal Medicine | 1300 N Vermont Ave # 600, Los Angeles, CA 90027-6098 | 2010-06-11 |
| 1366688236 | Archie Fredric Wilson | Internal Medicine | 11244 Homedale St, Los Angeles, CA 90049-3019 | 2008-12-26 |
| 1669627691 | William Fred Bierer | Internal Medicine | 9009 Beverly Blvd, Los Angeles, CA 90048 | 2008-11-18 |
| 1114191186 | Patricia Hedieh Eshaghian | Internal Medicine | Ucla Division of Pulmonary and Critical Care, Chs 37-131, Los Angeles, CA 90095-0001 | 2008-04-21 |
| 1588856538 | Caroline A. Kim | Internal Medicine | 6041 Cadillac Avenue, Suite 248, Kaiser Permanente, Los Angeles, CA 90034 | 2007-08-14 |
| 1790815082 | Los Angeles Lung Center - A Professional Medical Corporation | Internal Medicine | 1245 Wilshire Blvd Ste 305, Los Angeles, CA 90017-4803 | 2007-03-06 |
| 1912086331 | Yungae Kristy Kim | Internal Medicine | 3435 Wilshire Blvd Ste 500, Los Angeles, CA 90010-1906 | 2006-11-05 |
| 1780765933 | Ramadas Abboy | Internal Medicine | 1700 E Cesar E Chavez Ave Ste 3100, Los Angeles, CA 90033-2469 | 2006-10-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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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.