Active NPI
Ricardo Da Roza, M.D.
- Medical Oncology Physician
- Castro Valley, CA
National Provider Identifier
1184669285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- C41444
- Practice address
- 20055 Lake Chabot Rd
#130
Castro Valley, CA 94546-5331 - Phone
- (510) 888-0657
- Fax
- (510) 886-4532
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | C41444 | CA | |
| Medical Oncology Physician | 207RX0202X | C41444 | CA | Primary |
Addresses
Primary practice location
20055 Lake Chabot Rd
#130
Castro Valley, CA 94546-5331
Mailing address
5725 W Las Positas Blvd
#100
Pleasanton, CA 94588-4054
Phone (925) 734-8130
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C414440 | Medicaid | CA | |
| 110041014 | Other | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C41444 | CA | MD | Hematology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James R. Cohen MD Medical Corporation | Past | Accepting new patients |
Interoperability endpoints
- rdarozamd141869@hisp.ehr.sutterhealth.org
Organizations & group practices 1
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.
-
- Hematology & Oncology Physician
- Los Gatos, CA
- NPI 1154659316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1184669285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5725 W LAS POSITAS BLVD",
"address_2": "#100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884054",
"telephone_number": "925-734-8130",
"fax_number": "925-225-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20055 LAKE CHABOT RD",
"address_2": "#130",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465331",
"telephone_number": "510-888-0657",
"fax_number": "510-886-4532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DA ROZA",
"first_name": "RICARDO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "CA",
"license": "C41444",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "CA",
"license": "C41444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C414440",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110041014",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.