Travis J Roark, MD | |
10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | |
(858) 554-3200 | |
Not Available |
Full Name | Travis J Roark |
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Gender | Male |
Speciality | Internal Medicine |
Location | 10666 N Torrey Pines Rd, La Jolla, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326601485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | A180317 (California) | Primary |
Entity Name | North County Inpatient Medical Alliance, A Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932108115 PECOS PAC ID: 3274503842 Enrollment ID: O20040729001474 |
Entity Name | Enlightened Healthcare Alliance Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710458245 PECOS PAC ID: 6608115043 Enrollment ID: O20190313000240 |
Mailing Address | Practice Location Address |
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Travis J Roark, MD 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 Ph: (858) 554-3200 | Travis J Roark, MD 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 Ph: (858) 554-3200 |
Dr. John Sturdivant Andrews, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1223 Via Barranca, La Jolla, CA 92037 Phone: 858-775-1976 | |
Dr. Mark C Adrian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, Suite 355, La Jolla, CA 92037 Phone: 858-202-0011 | |
Dr. Erminia M. Guarneri, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-3330 Fax: 858-784-5933 | |
Dr. Eric Hong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9834 Genesee Ave, Suite 300, La Jolla, CA 92037 Phone: 858-824-2900 Fax: 858-824-2910 | |
Katrina Deleon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-6158 | |
Abhishek Gadre, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 858-657-7118 | |
Mira Maria John, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 800-926-8273 |