JOHNATHON CURTIS ROLLO MD NPI 1104185644

NPI Information

  • NPI: 1104185644
  • Provider Name: JOHNATHON CURTIS ROLLO, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 UCLA MEDICAL PLZ STE 526
    LOS ANGELES, CA
    ZIP 90095
  • Phone: (310) 206-6294

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NPI Details

Johnathon Curtis Rollo, MD is a vascular surgery surgery in Los Angeles, CA with 14 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Johnathon Curtis Rollo, MD NPI is 1104185644. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA
ZIP 90095-414
Phone: (310) 206-6294

The NPI 1104185644 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Removal of plaque in arteries of leg (HCPCS:37225)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS:37252)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Removal of plaque in artery of leg, initial vessel (HCPCS:37229)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/3/2012 and was last updated on 9/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryMD60748391WASHINGTONNo
22086S0129XSurgeryVascular SurgeryA130427CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18967381OTHERWASHINGTONMEDICARE PIN
21104185644MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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