DR. JEFFREY CLARK ROTH (NPI# 1902868201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902868201 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY CLARK ROTH |
| Credential | D.O. |
| Practice Address |
2600 Redondo Ave Long Beach CA 90806-2329 |
| Mailing Address |
10470 Rose Ann Cir Cypress CA 90630-4359 |
| Practice Telephone | 5629887000 |
| Practice Fax Number | 5629887430 |
| Mailing Telephone | 7142209135 |
| Mailing Fax Number | 7149954455 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2012-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 20A5342 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386966653 | Jeffrey Eugene Roth | Pharmacist | 4041 Washington Rd, Mc Murray, PA 15317-2520 | 2010-02-26 |
| 1871629006 | Jeffrey M Roth | Physical Therapist | 9004 Woodview Dr, Pittsburgh, PA 15237-4163 | 2007-02-23 |
| 1144399189 | Jeffrey R Roth | Dentist | 408 S Main St Ste 1, Hailey, ID 83333-8402 | 2006-11-06 |
| 1699862219 | Jeffrey D Roth | Social Worker | 333 N Washington, Ste 260, Hutchinson, KS 67501 | 2006-10-06 |
| 1437196631 | Jeffrey M Roth | Optometrist | 725 Erie Blvd W, Syracuse, NY 13204-2229 | 2006-05-31 |
| 1932109212 | Jeffrey Joseph Roth | Plastic Surgery | 9280 W Sunset Rd Ste 236, Las Vegas, NV 89148-4861 | 2005-07-28 |
| 1326255340 | Jeffrey Lewis Roth | Dentist | Cmr 454, Box 1272, Apo, AE 09250-1272 | 2007-05-17 |
| 1598886558 | Jeffrey Roth | Counselor | 240 N James St, Suites 104-106, Wilmington, DE 19804-3169 | 2007-04-03 |
| 1184734584 | Jeffrey A Roth | Internal Medicine | 6600 Madison St, New Port Richey, FL 34652-1971 | 2006-08-30 |
| 1396752721 | Jeffrey David Roth | Psychiatry & Neurology | 25 E Washington St, Suite 1811, Chicago, IL 60602-1708 | 2006-08-01 |
| Street Address |
2600 REDONDO AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833563 | Kenneth T Kim | Allergy & Immunology | 2600 Redondo Ave, Ste 400, Long Beach, CA 90806-2330 | 2005-07-01 |
| 1902411408 | Andrea Berrios Vasquez | Student in an Organized Health Care Education/Training Program | 2600 Redondo Ave, Long Beach, CA 90806-2325 | 2020-09-10 |
| 1134730666 | Meghan E Orr | Student in an Organized Health Care Education/Training Program | 2600 Redondo Ave, Long Beach, CA 90806-2325 | 2020-08-10 |
| 1023578465 | Serwa A Scorza | Registered Nurse | 2600 Redondo Ave, Long Beach, CA 90806-2325 | 2019-03-21 |
| 1811456544 | Jessie Godinez | Community Health Worker | 2600 Redondo Ave, Long Beach, CA 90806-2325 | 2019-03-12 |
| 1669955027 | Elise Michiko Yoshida | Psychologist | 2600 Redondo Ave, Long Beach, CA 90806-2325 | 2018-09-12 |
| 1093291486 | Maria Alejandra Olvera | Community Health Worker | 2600 Redondo Ave, Long Beach, CA 90806-2325 | 2018-07-18 |
| 1649721572 | Brenna Elaine Hoff | Nurse Practitioner | 2600 Redondo Ave, Long Beach, CA 90806-2325 | 2016-10-14 |
| 1104297712 | Katharine Carrasco | Nurse Practitioner | 2600 Redondo Ave, Long Beach, CA 90806-2325 | 2015-10-08 |
| 1073999124 | Maria Kesler | Counselor | 2600 Redondo Ave, Long Beach, CA 90806-2325 | 2015-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1679102248 | Revitalize Life Center A PC | Internal Medicine | 3939 Atlantic Ave Ste 100, Long Beach, CA 90807-3529 | 2020-04-06 |
| 1144864992 | Jonathan Nguyen Medical Clinic Inc | Internal Medicine | 555 E Pacific Coast Hwy Ste 102, Long Beach, CA 90806-5579 | 2019-11-05 |
| 1497251060 | Tak Lun Lau | Internal Medicine | 1101 El Mirador Ave, Long Beach, CA 90815-4422 | 2018-04-03 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1174972012 | Diego Ivan Kriger | Internal Medicine | 3816 Woodruff Ave Ste 412, Long Beach, CA 90808-2146 | 2016-06-10 |
| 1437537644 | Samaritana Medical Clinic Long Beach Inc | Internal Medicine | 1052 Atlantic Ave, Long Beach, CA 90813-3403 | 2015-05-08 |
| 1841600186 | Helen Ma | Internal Medicine | 5901 East 7th St, Long Beach, CA 90822 | 2014-05-07 |
| 1700200938 | Neil H Caplan | Internal Medicine | 27 W Penn St, Long Beach, NY 11561-4003 | 2014-02-07 |
| 1093157596 | Concepcion A Enriquez | Internal Medicine | 3377 Long Beach Blvd, Long Beach, CA 90807-4408 | 2013-07-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.