Bernard Roazen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C34618 Issued in CA

Practice address

1850 Sullivan Ave
#150
Daly City, CA 94015-2230

Phone

(650) 994-2300

Fax

(650) 992-0122

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083773030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "#150",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152230",
            "telephone_number": "650-994-2300",
            "fax_number": "650-992-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "#150",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152230",
            "telephone_number": "650-994-2300",
            "fax_number": "650-992-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROAZEN",
        "first_name": "BERNARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C34618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ83752Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Edward Rittenhouse, MD
• Daniela Ester Rivas
• Arlene Bagain Rivera, MS, LPCC
• Ederlyn Rivera
• Allyson Vitales Roa
• Magdalena Robb
• Molly Robins
• Christopher Robinson
• Martin Gerardo Robles Magana, MD, MPH
• Yazmin Rocha Delgadillo

• Family Medicine Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.