MEDICARE: PETER ROTHSCHILD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	C42187	CA
2	2085R0202X	Diagnostic Radiology Physician	21926	KY

General Provider Information

NPI Number	:	1659375475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER ROTHSCHILD M.D.

Provider Business Mailing Address
First Line	:	724 VIA PALO ALTO
Second Line	:	STE 5
City	:	APTOS
State	:	CA
Zip	:	95003-5629
Country	:	US
Telephone Number	:	510-604-0700
Fax Number	:

Provider Business Practice Location Address
First Line	:	724 VIA PALO ALTO STE 5
Second Line	:
City	:	APTOS
State	:	CA
Zip	:	95003-5629
Country	:	US
Telephone Number	:	510-604-0700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	08/29/2025

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