Mr Roy L Blanco, APRN,MSN,FNP-C,PA-C - Medicare Nurse Practitioner in Stockton, CA

Mr Roy L Blanco, APRN,MSN,FNP-C,PA-C is a medicare enrolled "Nurse Practitioner - Family" in Stockton, California. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Geriatrics Long Term Care Medical Corporation, Permanente Medical Group Inc and his current practice location is 7373 West Ln, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 476-2000.

Mr Roy L Blanco is licensed to practice in California (license number NP 16596) 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 1417074907.

Contact Information

Mr Roy L Blanco, APRN,MSN,FNP-C,PA-C
7373 West Ln,
Stockton, CA 95210-3377
(209) 476-2000
(916) 887-7920

Map and Direction




Provider's Profile

Full NameMr Roy L Blanco
GenderMale
SpecialityNurse Practitioner
Experience18 Years
Location7373 West Ln, Stockton, 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:
  • Mr Roy L Blanco graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1417074907
  • Provider Enumeration Date: 03/22/2007
  • Last Update Date: 03/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8628292075
  • Enrollment ID: I20150908002681

Medical Identifiers

Medical identifiers for Mr Roy L Blanco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417074907NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA 19007 (California)Secondary
363LF0000XNurse Practitioner - Family NP 16596 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geriatrics Long Term Care Medical Corporation00424020422
Permanente Medical Group Inc89219102258376

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. Mr Roy L Blanco allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameSan Joaquin Faculty Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225063761
PECOS PAC ID: 4082631395
Enrollment ID: O20051026000742
Entity NameGeriatrics Long Term Care Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952534927
PECOS PAC ID: 0042402042
Enrollment ID: O20101008000701

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. Mr Roy L Blanco 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
Mr Roy L Blanco, APRN,MSN,FNP-C,PA-C
5530 Vintage Cir,
Stockton, CA 95219-2510

Ph: (209) 623-8580
Mr Roy L Blanco, APRN,MSN,FNP-C,PA-C
7373 West Ln,
Stockton, CA 95210-3377

Ph: (209) 476-2000

Reviews and Comments


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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.