| Donald Lewis Roback, MD | |
|
2200 N Sepulveda Blvd, Manhattan Beach, CA 90266-2910 | |
| (310) 802-0200 | |
| (310) 794-9035 |
| Full Name | Donald Lewis Roback |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 52 Years |
| Location | 2200 N Sepulveda Blvd, Manhattan Beach, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467401240 | NPI | - | NPPES |
| 00A228190 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A22819 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa monica, CA | Hospital |
| West Hills Hospital & Medical Center | West hills, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ucla Radiology Medical Group | 8921902065 | 179 |
| Entity Name | Ucla Radiology Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881670248 PECOS PAC ID: 8921902065 Enrollment ID: O20031120001026 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538 |
| Entity Name | Martin Luther King Jr Community Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Lewis Roback, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Donald Lewis Roback, MD 2200 N Sepulveda Blvd, Manhattan Beach, CA 90266-2910 Ph: (310) 802-0200 |
Dr. William V Glenn, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 112 The Strand, Manhattan Beach, CA 90266 Phone: 310-937-4594 | |
Cheryl Heidi Hoffman, MD Radiology Medicare: Medicare Enrolled Practice Location: 2200 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-802-0200 Fax: 310-794-9035 | |
Dr. Joseph Trammell Dixon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2801 Palm Ave, Manhattan Beach, CA 90266 Phone: 952-595-1100 Fax: 612-294-4903 |