DR. FRED BACON ROTHELL (NPI# 1386903342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386903342 |
| Entity Type | Individual |
| Full Name | DR. FRED BACON ROTHELL |
| Credential | M.D. |
| Practice Address |
23530 Arlington Ave D Torrance CA 90501-6000 |
| Practice Telephone | 3105283363 |
| Mailing Telephone | 3105283363 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | GFE2737 | CA | Other Service Providers |
| Street Address |
23530 ARLINGTON AVE D |
| City | TORRANCE |
| State | CA |
| Zip Code | 90501-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351145 | Brittany Ford | Behavior Technician | 701 Van Ness Way, Ste. 710, Sacrmamento, CA 90501 | 2018-10-12 |
| 1912417999 | Wellspring of Life Counseling Center, Inc. | Counselor | 2008 West Carson Street, Suite 105, Torrance, CA 90501 | 2017-10-04 |
| 1902325517 | Diane Elizabeth Rogers | Counselor | 20300 S. Vermont Ave, Suite 275, Torrance, CA 90501 | 2017-09-14 |
| 1124545397 | Daniel Benjamin | Social Worker | 1617 Cravens Ave., Torrance, CA 90501 | 2017-08-28 |
| 1194246819 | Rebecca Senter | Counselor | 1124 W. Carson St N33, Torrance, CA 90501 | 2017-07-03 |
| 1932638376 | Anderson Development Licensed Clinical Social Worker Inc | Social Worker | 21151 S Western Ave Ste 174, Torrance, CA 90501 | 2017-06-08 |
| 1548796626 | Green Meadow Homes, Inc. | Skilled Nursing Facility | 2460 W. 229th Street, Torrance, CA 90501 | 2017-05-10 |
| 1134679558 | Stacey Rose Garcia | Student in an Organized Health Care Education/Training Program | 1445 W 214th St, Torrance, CA 90501 | 2016-10-10 |
| 1700333002 | Veronica Mayela Martinez | Marriage & Family Therapist | 1523 W. 228th St Apt. A, Torrance, CA 90501 | 2016-09-02 |
| 1124453030 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1303 W Sepulveda Blvd, Torrance, CA 90501 | 2013-09-10 |
| Find all providers in zip 90501 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1932505955 | Kayti Anne Corcoran | Specialist | 23105 Madison St, #212, Torrance, CA 90505-3922 | 2014-11-19 |
| 1740685247 | Larry Roberts | Specialist | 23433 Carlow Rd, Torrance, CA 90505-4557 | 2014-10-27 |
| 1205246659 | Sadhana Nayak-young | Specialist | Lac-dmh 1000 W. Carson Street, Box #498, Harbor Ucla Medical Center, Torrance, CA 90502-2004 | 2014-05-06 |
| 1497172332 | Amber Bridges | Specialist | 1000 W. Carson Street, Box 8, Torrance, CA 90509 | 2014-03-27 |
| 1962835504 | Jane Maureen Hamilton | Specialist | 3540 Redondo Beach Blvd, Torrance, CA 90504-1404 | 2013-08-19 |
| 1801036751 | Lifescape Imaging Cypress LLC | Specialist | 24584 Hawthorne Blvd, Torrance, CA 90505-6807 | 2009-03-04 |
| 1124263108 | Michelle Tawa | Specialist | 1000 W Carson St # 8, Torrance, CA 90502-2004 | 2008-12-05 |
| 1962667147 | Century Therapy Group | Specialist | 3525 Pacific Coast Hwy Ste C, Torrance, CA 90505-6656 | 2008-07-27 |
| 1114195963 | Kurt F Pickus, M.d. A Medical Corporation | Specialist | 3440 W Lomita Boulevard #442, Torrance, CA 90505 | 2008-02-14 |
| Find all providers in TORRANCE | ||||
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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.