Randall Alan Roark, NP | |
949 Palm Ave, Imperial Beach, CA 91932 | |
(619) 429-3733 | |
(619) 628-5550 |
Full Name | Randall Alan Roark |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 949 Palm Ave, Imperial Beach, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447312178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 568148 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 15996 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dap Health Inc | 6002989522 | 15 |
Entity Name | Multnomah County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609914787 PECOS PAC ID: 6608771787 Enrollment ID: O20031203000025 |
Mailing Address | Practice Location Address |
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Randall Alan Roark, NP Po Box 459, Imperial Beach, CA 91933-0459 Ph: (619) 429-3733 | Randall Alan Roark, NP 949 Palm Ave, Imperial Beach, CA 91932 Ph: (619) 429-3733 |
Chinyere Esther Opara, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 | |
Paris Kantas, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Palm Ave, Imperial Beach, CA 91932 Phone: 619-424-5106 | |
Ms. Stephanie Cunningham, DNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 | |
Heather Ann Roberts Calzada, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 | |
Lisa George, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Palm Ave, Imperial Beach, CA 91932 Phone: 619-424-5106 Fax: 619-424-3648 | |
Francesca Floyd, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 |