Gerald M Roth, MD | |
2202 Wilshire Blvd, Santa Monica, CA 90403-5706 | |
(310) 264-9000 | |
(310) 264-9004 |
Full Name | Gerald M Roth |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 36 Years |
Location | 2202 Wilshire Blvd, Santa Monica, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740227594 | NPI | - | NPPES |
00G670130 | Medicaid | CA | |
00G760130 | Other | CA | BLUE SHIELD OF CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | G76013 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Diagnostic Centers Of America, Llp | 0547174120 | 72 |
Mori Bean And Brooks Inc | 8820077878 | 647 |
Entity Name | Mori Bean And Brooks Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
Entity Name | Diagnostic Centers Of America, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730125261 PECOS PAC ID: 0547174120 Enrollment ID: O20080223000067 |
Entity Name | Tower Imaging Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023315074 PECOS PAC ID: 2163608688 Enrollment ID: O20230516001249 |
Entity Name | Tower Imaging Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013962067 PECOS PAC ID: 2668376708 Enrollment ID: O20230517001387 |
Mailing Address | Practice Location Address |
---|---|
Gerald M Roth, MD Dept La 21559, Pasadena, CA 91185-1559 Ph: (949) 263-8620 | Gerald M Roth, MD 2202 Wilshire Blvd, Santa Monica, CA 90403-5706 Ph: (310) 264-9000 |
Dr. Oscar E Streeter Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2811 Wilshire Blvd, Suite 860, Santa Monica, CA 90403 Phone: 888-580-5900 Fax: 877-400-8093 | |
Vicki L. Schiller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-264-9000 Fax: 310-264-9004 | |
Dr. Seyed H Shahrokni, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2428 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-315-1000 | |
Ms. Keiko Aun Fukuda, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1245 16th St Ste 100, Santa Monica, CA 90404 Phone: 310-301-6800 | |
Lloyd David Wagner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 223 24th St, Santa Monica, CA 90402 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Khalid Kurbanali Javeri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2428 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-315-1000 | |
Alberto Saucedo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2811 Wilshire Blvd Ste 810, Santa Monica, CA 90403 Phone: 310-829-9788 Fax: 310-453-1576 |