Active NPI
Robert Michael Roaney, MD
- Family Medicine Physician
- Woodlake, CA
National Provider Identifier
1023173622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A19696
- Practice address
- 201 East Lakeview Avenue
Woodlake, CA 93286-1301 - Phone
- (559) 564-0100
- Fax
- (559) 564-8723
- NPI assigned
- Dec 25, 2006
- 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 Medicine Physician | 207Q00000X | A19696 | CA | Primary |
Addresses
Primary practice location
201 East Lakeview Avenue
Woodlake, CA 93286-1301
Mailing address
305 East Center Ave.
Visalia, CA 93291-6331
Phone (559) 737-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A196960 | Medicaid | CA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A19696 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340668800000",
"number": "1023173622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 EAST CENTER AVE.",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916331",
"telephone_number": "559-737-4700",
"fax_number": "559-737-4782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 EAST LAKEVIEW AVENUE",
"city": "WOODLAKE",
"state": "CA",
"postal_code": "932861301",
"telephone_number": "559-564-0100",
"fax_number": "559-564-8723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROANEY",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-25",
"last_updated": "2012-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A19696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A196960",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodlake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.