Charles B Roland MD Professional Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

CHARLES B ROLAND MD PROFESSIONAL CORPORATION

Practice address

11216 Trinity River Dr
#G
Rancho Cordova, CA 95670-2961

Phone

(916) 635-6161

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Charles B Roland, MD

Title

President

Phone

(916) 635-6161

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1114108511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 TRINITY RIVER DR",
            "address_2": "#G",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702961",
            "telephone_number": "916-635-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES B ROLAND MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-635-6161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00C240040",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C240040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary M. Cederlind, DO
• Sasha Lee Cedusky
• CG Estepa Care Home 2, Inc.
• Marine Chakhoyan
• Jessica Chao Chang
• Ursline Charles
• Gillian Chase, LCSW
• Johnny Chau, PHARMD
• Andriana C Chavez
• Elbert H Chen, M.D.

• Anesthesiology Physician in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.