JOHNATHON C. ROLLO MD – NPI #1104185644
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
JOHNATHON ROLLO is a surgeon located in LOS ANGELES, CA. NPPES has assigned the NPI number 1104185644 to JOHNATHON ROLLO on May 03, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
The NPI profile was previously updated about 5 years ago on Sep 02, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHNATHON ROLLO below.
NPI Profile for
JOHNATHON C. ROLLO
(more than 14 years ago)
LOS ANGELES, CA 90095-8414 Phone: (310) 206-6294 Fax:
2 Other location(s):
Los Angeles, CA 90095-8414
Phone: (310) 267-0172
Seattle, WA 98133-8414
Phone: (206) 668-5864
LOS ANGELES, CA 90045-5631 Phone: Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for JOHNATHON ROLLO
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MEDICARE PIN | WA | 8967381 |
| MEDICAID | WA | 1104185644 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
WA | MD60748391 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
JOHNATHON ROLLO is affiliated with the following medical group(s):
- HOSPITAL
- RONALD REAGAN UCLA MEDICAL CENTER757 WESTWOOD PLAZA
LOS ANGELES, CA 90095 - SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL1250 16TH STREET
SANTA MONICA, CA 90404
- RONALD REAGAN UCLA MEDICAL CENTER757 WESTWOOD PLAZA
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