Individual provider Active NPI

Antonio Barbaro Roman, M.D.

  • Family Medicine Physician
  • Laguna Hills, CA
National Provider Identifier
1003261496
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101267090 Issued in VA
Practice address
23719 Moulton Pkwy
Laguna Hills, CA 92653-1913
Phone
(949) 587-3700
Fax
(562) 346-3519
NPI assigned
May 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A162068 CA
Family Medicine Physician 207Q00000X 0101267090 VA Primary

Addresses

Primary practice location

23719 Moulton Pkwy
Laguna Hills, CA 92653-1913

Mailing address

23719 Moulton Pkwy
Laguna Hills, CA 92653-1913
Phone (949) 587-3700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aroman79686@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710000945 CA Order and Referring Only - Family PracticePractitioner - Family Practice 2264727478

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162068CAMDFamily Medicine Physician
0101267090VAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: aroman79686@direct.carilionclinic.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1003261496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23719 MOULTON PKWY",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531913",
            "telephone_number": "949-587-3700",
            "fax_number": "562-346-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23719 MOULTON PKWY",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531913",
            "telephone_number": "949-587-3700",
            "fax_number": "562-346-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "ANTONIO",
        "middle_name": "BARBARO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A162068",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101267090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aroman79686@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "aroman79686@direct.carilionclinic.org",
            "address_1": "1107A Brookdale St",
            "city": "Martinsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241124501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.