Tomer A Roth
Medical Specialty
Professional ID
- NPI: 1528210416
- PECOS ID: 6608907761
- Enrollment ID: I20100706000694
- Credential(MD, DO, DPM):
- Medical School: Northwestern University Medical School
- Medical School Graduation Year: 2005
Hospital Service
- Hospital CCN1: 050235
- Business Name (LBN)1: Providence Saint Joseph Medical Ctr
- Hospital CCN2: 050116
- Business Name (LBN)2: Northridge Hospital Medical Center
- Hospital CCN3: 050135
- Business Name (LBN)3: Southern California Hospital At Hollywood
- Hospital CCN4: 050298
- Business Name (LBN)4: Barstow Community Hospital
- Hospital CCN5: 050159
- Business Name (LBN)5: Ventura County Medical Center
Medical Practices
- Organization Name: Renaissance Imaging Medical Associates Inc
- Group Practice ID assigned by PECOS: 7315841756
- Number of Group Practice member: 93
Location
- Address1: 501 Petaluma Ave
- Address2:
- City: Sebastopol
- State: California
- Zip Code: 95472
- Phone Number: (707)823-8511
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):