Justin Roldan, - Medicare Certified Registered Nurse Anesthetist (crna) in Harbor City, CA

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Justin Roldan, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Harbor City, California. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Southern California Permanente Medical Group, Marquee Anesthesia Consultants Inc and his current practice location is 25825 Vermont Ave, Harbor City, California. You can reach out to his office (for appointments etc.) via phone at (310) 325-5111.

Justin Roldan is licensed to practice in California (license number 4264) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922363993.

Contact Information

Justin Roldan,
25825 Vermont Ave,
Harbor City, CA 90710-3518
(310) 325-5111
Not Available

Map and Direction




Provider's Profile

Full NameJustin Roldan
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location25825 Vermont Ave, Harbor City, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin Roldan graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1922363993
  • Provider Enumeration Date: 07/05/2012
  • Last Update Date: 11/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830344597
  • Enrollment ID: I20130301000377

Medical Identifiers

Medical identifiers for Justin Roldan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922363993NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4264 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291758172
Marquee Anesthesia Consultants Inc62041690066

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Justin Roldan allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameSan Gabriel Anesthesia Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538424908
PECOS PAC ID: 3678720604
Enrollment ID: O20120828000023
Entity NameMarquee Anesthesia Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760942619
PECOS PAC ID: 6204169006
Enrollment ID: O20190611000748

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. Justin Roldan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Justin Roldan,
25825 Vermont Ave,
Harbor City, CA 90710-3518

Ph: (310) 325-5111		Justin Roldan,
25825 Vermont Ave,
Harbor City, CA 90710-3518

Ph: (310) 325-5111

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Harbor City, CA

Tina L Holt, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Loreto Albaran, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Mr. Scott Mathews, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-517-2585    
Melissa Roupoli, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 800-780-1230    
Michelle A Navarrette, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Angela Burney, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Mr. Jon David Beserra Ii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.