Individual provider Active NPI

Claude L. Roge, M.D.

  • Pediatric Cardiology Physician
  • San Francisco, CA
National Provider Identifier
1053421537
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A32404 Issued in CA
Practice address
505 Parnassus Ave # M696
San Francisco, CA 94143-2204
Phone
(415) 476-2653
NPI assigned
Aug 30, 2006
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A32404 CA
Pediatric Cardiology Physician 2080P0202X A32404 CA Primary

Addresses

Primary practice location

505 Parnassus Ave # M696
San Francisco, CA 94143-2204

Mailing address

1635 Divisadero St
Suite 625, Box 1821
San Francisco, CA 94143-0001
Phone (415) 476-4029

Other practice location 1

726 N Medical Center Dr E Ste 209
Clovis, CA 93611-6886
Phone (559) 325-5656

Other identifiers 1

IdentifierTypeStateIssuer
00A324040MedicaidCA

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
I20080414000664 CA Practitioner - Pediatric Medicine 7416034590 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A32404CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
School Health Clinics of Santa Clara County CurrentSince Apr 19, 2024 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Feb 17, 2023 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Feb 17, 2023 Accepting new patients
School Health Clinics of Santa Clara County Current Accepting new patients
Community Health Partners CurrentSince Feb 17, 2023 Accepting new patients
UCSF Pediatrics Associates Pediatrics Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

726 N Medical Center Dr E
Ste 209
Clovis, CA 93611
Phone (559) 325-5656

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

9300 Wren Ave
Gilroy, CA 95020
Phone (408) 842-1017

100 Oak St
Rm F3
San Jose, CA 95110
Phone (408) 295-0950

1149 E Julian St
Bldg H
San Jose, CA 95116
Phone (408) 535-6001

645 Wool Creek Dr
San Jose, CA 95112
Phone (408) 283-6051

6840 Via del Oro
Ste 210
San Jose, CA 95119
Phone (408) 284-2280

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
School Health Clinics of Santa Clara CountyGilroy, CA, CCN A01833 Federally qualified health center W-2 Managing Employee Jan 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1053421537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST",
            "address_2": "SUITE 625, BOX 1821",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001",
            "telephone_number": "415-476-4029",
            "fax_number": "415-476-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M696",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-476-2653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 N Medical Center Dr E Ste 209",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116886",
            "country_code": "US",
            "telephone_number": "559-325-5656",
            "fax_number": "559-356-5568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGE",
        "first_name": "CLAUDE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A32404",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A32404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A324040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.