Active NPI
Jorge Efrain Roman, NP
- Family Nurse Practitioner
- Napa, CA
National Provider Identifier
1013208628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20679
- Practice address
- 1141 Pear Tree LN
Suite 100
Napa, CA 94558-6484 - Phone
- (707) 254-1770
- Fax
- (707) 251-2995
- NPI assigned
- Apr 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20679 | CA | Primary |
Addresses
Primary practice location
1141 Pear Tree LN
Suite 100
Napa, CA 94558-6484
Mailing address
1100 Trancas St Ste 300
Napa, CA 94558-2921
Phone (707) 254-1770
Other practice location 1
1141 Pear Tree Ln
Suite 100
Napa, CA 94558-6484
Phone (707) 254-1770 ext. 211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20679 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1013208628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 TRANCAS ST STE 300",
"city": "NAPA",
"state": "CA",
"postal_code": "945582921",
"telephone_number": "707-254-1770",
"fax_number": "707-254-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 PEAR TREE LN",
"address_2": "SUITE 100",
"city": "NAPA",
"state": "CA",
"postal_code": "945586484",
"telephone_number": "707-254-1770",
"fax_number": "707-251-2995"
}
],
"practiceLocations": [
{
"address_1": "1141 Pear Tree Ln",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "945586484",
"country_code": "US",
"telephone_number": "707-254-1770 x211",
"fax_number": "707-251-2995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMAN",
"first_name": "JORGE",
"middle_name": "EFRAIN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-29",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "20679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.