Organization Active NPI

Carmelo Lim Roco, M.D.

  • Preferred Provider Organization
  • San Francisco, CA
National Provider Identifier
1124205869
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
CARMELO LIM ROCO, M.D.
Doing business as
Carmelo Lim Roco,M.D.
Practice address
490 Post Street
Suite 901
San Francisco, CA 94102
Phone
(415) 421-2256
Fax
(415) 421-9024
NPI assigned
Jan 24, 2008
Last updated
Apr 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Dr. Carmelo Lim Roco, M.D.NPI 1316996465
Title
Internal Medicine
Phone
(415) 421-2256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NU Primary

Addresses

Primary practice location

490 Post Street
Suite 901
San Francisco, CA 94102

Mailing address

490 Post Street
Suite 901
San Francisco, CA 94102
Phone (415) 421-2256

Other identifiers 2

IdentifierTypeStateIssuer
NPI 1316996465OtherCANPI
00A477701MedicaidCA

Other names 1

  • CARMELO LIM ROCO,M.D. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carmelo Lim Roco2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

490 Post St
Ste 901
San Francisco, CA 94102
Phone (415) 421-2256

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1124205869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST STREET",
            "address_2": "SUITE 901",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94102",
            "telephone_number": "415-421-2256",
            "fax_number": "415-421-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST STREET",
            "address_2": "SUITE 901",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94102",
            "telephone_number": "415-421-2256",
            "fax_number": "415-421-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMELO LIM ROCO, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "ROCO",
        "authorized_official_first_name": "CARMELO",
        "authorized_official_middle_name": "LIM",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "415-421-2256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "NPI 1316996465",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A477701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARMELO LIM ROCO,M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.