Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samuel J Roth, MD

Individual provider Anesthesiology Physician · NPI 1164495008

Dr. Samuel J Roth, MD is an Anesthesiology in San Bernardino, California. Graduated from Un of California, Irvine, College of Medicine in 1978, 48 years ago. Practices with Palm Springs Anesthesia Services PC, a 89-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
48
Trained at
Un of California, Irvine, College of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone: (909) 883-8711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence G41016 (CA)

Record details

NPI number1164495008
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 10, 2006
Last updated in NPPESFebruary 23, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice Palm Springs Anesthesia Services Pc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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