G & J ROTH PROFESSIONAL CORP NPI 1275675480

NPI Information

  • NPI: 1275675480
  • Provider Name: G & J ROTH PROFESSIONAL CORP
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • Doing Business As: TIMOTHY J. ROTH, DO
  • Address: 255 W BULLARD AVE
    102
    CLOVIS, CA
    ZIP 93612
  • Phone: (559) 299-2128

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NPI Details

G & J ROTH PROFESSIONAL CORP is a non pharmacy dispensing site in Clovis, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) G & J ROTH PROFESSIONAL CORP NPI is 1275675480. The provider is registered as an organization entity type.
The provider Is Doing Business As Timothy J. Roth, Do.

The provider's business location address is:

255 W BULLARD AVE
102
CLOVIS, CA
ZIP 93612-861
Phone: (559) 299-2128

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 10/17/2012.

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
1332900000XNon-Pharmacy Dispensing Site20A5200CALIFORNIAYes

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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