Active NPI
Jennifer Jane Roelands, MD
- Obstetrics & Gynecology Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2008013765
- Practice address
- 301 W Bastanchury Rd Ste 140
Fullerton, CA 92835-3427 - Phone
- (714) 272-3477
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | C169554 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 2008013765 | MO | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | C169555 | AR |
Addresses
Primary practice location
301 W Bastanchury Rd Ste 140
Fullerton, CA 92835-3427
Mailing address
1830 Calle Don Guillermo
La Habra, CA 90631-7616
Phone (573) 355-6835
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
| CONNECT URL | www.precisionhealthmdoc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, CA, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of California, San Diego School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
270 Laguna Rd
Suite 220
Fullerton, CA 92835-2521
Phone (714) 272-3477
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C169555 | AR | MD | Obstetrics & Gynecology Physician |
| C169554 | CA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Single Specialty | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Arkansas Health Group | Single Specialty | Current | Accepting new patients |
| Los Angeles County Department of Public Health | Single Specialty | Current | Accepting new patients |
| Arkansas Health Group | Single Specialty | Current | Accepting new patients |
| Precision Health MD Inc | Single Specialty | Current | Accepting new patients |
| University of California San Francisco | Single Specialty | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Single Specialty | Current | Accepting new patients |
| University of California San Francisco | Single Specialty | Current | Accepting new patients |
| Southern California Permanente Medical Group | Single Specialty | Current | Accepting new patients |
| Precision Health Inc | Past | Accepting new patients | |
| CH Allied Services, Inc. | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| Conway Community Services | Past | Accepting new patients |
Locations
625 United Dr
Ste 420
Conway, AR 72032
Phone (501) 358-6941
9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9601 Baptist Health Dr
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970
5555 Ferguson Dr
Ste 10050
Commerce, CA 90022
Phone (213) 240-8220
301 W Bastanchury Rd
Ste 140
Fullerton, CA 92835
Phone (714) 773-0111
270 Laguna Rd
Ste 220
Fullerton, CA 92835
Phone (714) 272-3477
335 E Avenue K6
Ste B
Lancaster, CA 93535
Phone (661) 471-4810
241 N Figueroa St
Los Angeles, CA 90012
Phone (213) 240-8204
393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914
10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Fullerton, CA
- NPI 1003691692
Single Specialty
-
- Public Health & General Preventive Medicine Physician
- Los Angeles, CA
- NPI 1962109033
Single Specialty
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
Single Specialty
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Single Specialty
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
Single Specialty
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Little Rock, AR
- NPI 1598031882
Single Specialty
-
- Obstetrics & Gynecology Physician
- Columbia, MO
- NPI 1417926676
-
- Health Maintenance Organization
- Hemet, CA
- NPI 1013433465
Single Specialty
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
Single Specialty
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1164695409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 CALLE DON GUILLERMO",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906317616",
"telephone_number": "573-355-6835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W BASTANCHURY RD STE 140",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353427",
"telephone_number": "714-272-3477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROELANDS",
"first_name": "JENNIFER",
"middle_name": "JANE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "C169554",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2008013765",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "C169555",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "10800 Magnolia Ave",
"city": "Riverside",
"state": "CA",
"country_code": "US",
"postal_code": "925053043",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.precisionhealthmdoc.com",
"affiliation": "N",
"endpointDescription": "websut",
"address_1": "301 W Bastanchury Rd Ste 140",
"city": "Fullerton",
"state": "CA",
"country_code": "US",
"postal_code": "928353427",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.