Active NPI
Diogenes Anthony Roman III, MSW
- Clinical Psychologist
- Oak Hills, CA
National Provider Identifier
1184584179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- ASW109167
- Practice address
- 13810 Grant Way
Oak Hills, CA 92344-7018 - Phone
- (760) 488-3908
- NPI assigned
- Nov 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | ASW109167 | CA | Primary |
Addresses
Primary practice location
13810 Grant Way
Oak Hills, CA 92344-7018
Mailing address
13810 Grant Way
Oak Hills, CA 92344-7018
Phone (760) 488-3908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW109167 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1184584179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13810 GRANT WAY",
"city": "OAK HILLS",
"state": "CA",
"postal_code": "923447018",
"telephone_number": "760-488-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13810 GRANT WAY",
"city": "OAK HILLS",
"state": "CA",
"postal_code": "923447018",
"telephone_number": "760-488-3908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "DIOGENES",
"middle_name": "ANTHONY",
"name_suffix": "III",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-13",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "ASW109167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.