Jonathan Roman, is a
Rehabilitation Practitioner based in San Rafael, California. Jonathan Roman is licensed to practice in * (Not Available) (license number ) and his current practice location is
1 Saint Vincents Dr, San Rafael, California. He can be reached at his office (for appointments etc.) via phone at
(415) 507-2000.
NPI number for Jonathan Roman is 1386175792 and his current mailing address is 1 Saint Vincents Dr, San Rafael, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386175792.
Healthcare Provider's Profile
| Full Name | Jonathan Roman |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 1 Saint Vincents Dr, San Rafael, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386175792
- Provider Enumeration Date: 03/27/2017
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Jonathan Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386175792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Roman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan Roman,
1 Saint Vincents Dr,
San Rafael, CA 94903-1504
Ph: (415) 507-2000 | Jonathan Roman,
1 Saint Vincents Dr,
San Rafael, CA 94903-1504
Ph: (415) 507-2000 |
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