OrganizationActive
G & J Roth Professional Corp
NPI 1275675480 · Non-Pharmacy Dispensing Site · Clovis, CA
G & J Roth Professional Corp is a Non-Pharmacy Dispensing Site organization in Clovis, CA (NPI 1275675480).
Provider details
- NPI number
- 1275675480
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- 20A5200 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
255 W Bullard Ave
102
Clovis, CA 93612-0861
Phone: (559) 299-2128
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Timothy J. Roth, DO
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2012-10-17
Frequently asked questions
- What is G & J Roth Professional Corp's NPI number?
- G & J Roth Professional Corp's National Provider Identifier (NPI) is 1275675480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is G & J Roth Professional Corp?
- G & J Roth Professional Corp is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is G & J Roth Professional Corp located?
- G & J Roth Professional Corp's practice location on file with NPPES is 255 W Bullard Ave, Clovis, CA 93612-0861.
- What is G & J Roth Professional Corp's phone number?
- The practice phone number listed in the NPPES registry for G & J Roth Professional Corp is (559) 299-2128.
- Who is the authorized official for G & J Roth Professional Corp?
- The authorized official listed on G & J Roth Professional Corp's NPPES record is Kenny Heine, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is G & J Roth Professional Corp's NPI active?
- Yes — G & J Roth Professional Corp's NPI (1275675480) is active in the NPPES registry as of the last update on 2012-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.