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AMY ROACH MD
NPI 1770079006
Surgery - Pediatric Surgery in Los Angeles, CA

Active since July 10, 2018PECOS Enrolled
4650 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 660-2450 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Jul 10, 2018 (2 updates tracked since 2018).

About Amy Roach Md NPPES

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

AMY ROACH MD (NPI 1770079006) is an individual pediatric surgery provider in Los Angeles, California, licensed in California (A160884) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Hollywood.

NPPES Registry Identity

NPI1770079006
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameAMY ROACHCredential: MD
Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062
Mailing Address8700 Beverly Blvd # 8215ntWest Hollywood, CA 90048-1804
Phone(323) 660-2450
Sole ProprietorYes
Enumeration DateJuly 10, 2018
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1770079006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in CA · A160884
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4650 W SUNSET BLVD, Los Angeles, CA 90027
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Secondary Practice Location 1

Location 18700 Beverly Blvd # 8215NtWest Hollywood, CA 90048-1804 · Phone (310) 423-6637

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Roach 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.

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.

DR. MARK HENDRIK CORDEN M.D.
Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-8893
MS. ROBERTA MIYEKO KATO MD
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2101
CHILDREN'S HOSPITAL LOS ANGELES
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3644
JESSICA ELIZABETH GREIM DPT, PT
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (310) 361-2118
MOLLY CEVASCO PH.D., BCBA
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
GINNY KIM THAN NP
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3033
DOUGLAS SHAPIRO MD
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 660-2450
ALEXANDRA LYNN JOSTES MD
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Roach's NPI number?

The NPI number for Amy Roach is 1770079006. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Amy Roach located?

Amy Roach practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 660-2450.

What is Amy Roach's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Amy Roach enrolled in Medicare?

Yes. Amy Roach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Roach was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.