ROGER VICTOR BERTOLDI MD
NPI 1164447082
Psychiatry & Neurology - Neurology in Los Angeles, CA

Q: What is Roger Bertoldi's NPI number?

The NPI number for Roger Bertoldi is 1164447082. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Roger Bertoldi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Roger Bertoldi was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2006PECOS Enrolled

300 UCLA MEDICAL PLZ STE B200, LOS ANGELES, CA 90095(310) 794-1195(310) 794-7491 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Roger Victor Bertoldi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGER VICTOR BERTOLDI MD (NPI 1164447082) is an individual neurology provider in Los Angeles, California, licensed in California (A40519) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164447082

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameROGER VICTOR BERTOLDICredential: MD

Location Address300 UCLA MEDICAL PLZ STE B200Los Angeles, CA 90095-4008

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 794-1195

Fax(310) 794-7491

Sole ProprietorYes

Enumeration DateJuly 13, 2006

Last NPPES UpdateJanuary 15, 2020

✔ NPI 1164447082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in CA · A40519

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

300 UCLA MEDICAL PLZ STE B200, Los Angeles, CA 90095

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Other Identifiers 1

Other00A405190CA · Medical Ppin #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roger Victor Bertoldi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRSTIN MARIE NYGREN NP

Nurse Practitioner (Family)