G & J Roth Professional Corp
G & J Roth Professional Corp is a healthcare organization registered as Non-Pharmacy Dispensing Site in Clovis, CA, holding Type 2 (organization) NPI 1275675480 since 2007. The authorized official on file is Kenny Heine, Director of Operations.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1275675480 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | G & J Roth Professional Corp |
| Other name | <Unavail> |
| Parent organization | Medvantx, Inc. |
| Practice address | 255 W BULLARD AVE, 102, Clovis, CA, 93612 |
| Phone | 5592992128 |
| Enumeration date | 2007-02-13 |
| Last updated in NPPES | 2012-10-17 |
Authorized official
| Name | Kenny Heine |
|---|---|
| Title | Director of Operations |
| Phone | 8586252990 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | Primary | 20A5200 | CA |
Copy-ready billing details
Provider: G & J Roth Professional Corp NPI: 1275675480 Taxonomy: 332900000X (Non-Pharmacy Dispensing Site) Address: 255 W BULLARD AVE, 102, Clovis, CA, 93612
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548269723 | Shireen Damania | Individual | Psychiatry Physician | Clovis, CA |
| 1144213604 | Timothy Roth | Individual | Family Medicine Physician | Clovis, CA |
| 1659341501 | Brian Nitta | Individual | Physical Therapist | Clovis, CA |
| 1548230485 | Eric Hoshiko | Individual | Physical Therapist | Clovis, CA |
| 1407826357 | Dawnlynn Suglian | Individual | Physical Therapist | Clovis, CA |
| 1124098058 | Function&Action Physical Therapy, Inc. | Organization | Physical Therapist | Clovis, CA |
| 1154391092 | William Cherry | Individual | Physical Therapist | Clovis, CA |
| 1295705721 | Lori Cherry | Individual | Physical Therapist | Clovis, CA |
Verify this record
Cross-check NPI 1275675480 against the authoritative CMS record: view G & J Roth Professional Corp on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for G & J Roth Professional Corp?
Who is the authorized official for G & J Roth Professional Corp?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-10-17.