REBECCA ROTHBERG
NPI 1285289496
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is Rebecca Rothberg's NPI number?

The NPI number for Rebecca Rothberg is 1285289496. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Q: What is Rebecca Rothberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: Is Rebecca Rothberg enrolled in Medicare?

No. Rebecca Rothberg has opted out of Medicare through January 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Rothberg was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 05, 2019Opted out of Medicare · through Jan 15, 2028

3626 BALBOA ST, SAN FRANCISCO, CA 94121(415) 668-5955 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rebecca Rothberg NPPES

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

REBECCA ROTHBERG (NPI 1285289496) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since August 2019. She has opted out of Medicare through January 15, 2028.

NPPES Registry Identity

NPI1285289496

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameREBECCA ROTHBERG

Location Address3626 BALBOA STSan Francisco, CA 94121-2604

Mailing Address3626 Balboa StSan Francisco, CA 94121-2604

Phone(415) 668-5955

Sole ProprietorNo

Enumeration DateAugust 5, 2019

✔ NPI 1285289496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3626 BALBOA ST, San Francisco, CA 94121

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rebecca Rothberg has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 15, 2026 through January 15, 2028.

Opt-Out Effective DateJanuary 15, 2026

Opt-Out In Effect ThroughJanuary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MARSHA JOSEPHINE WAINWRIGHT

Counselor (Professional)