Active NPI
Yvonne Louise Roach, R N
- Pediatric Oncology Registered Nurse
- Sacramento, CA
National Provider Identifier
1184864548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Oncology Registered Nurse
- License
- 397650
- Practice address
- 2521 Stockton Blvd FL 3
Sacramento, CA 95817-2207 - Phone
- (916) 734-7006
- Fax
- (916) 734-0980
- NPI assigned
- Feb 25, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Oncology Registered Nurse | 163WP0218X | 397650 | CA | Primary |
Addresses
Primary practice location
2521 Stockton Blvd FL 3
Sacramento, CA 95817-2207
Mailing address
2516 Stockton Blvd
Sacramento, CA 95817-2208
Phone (916) 734-7006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07202 | Other | CA | UC DAVIS PROVIDER ID |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 397650 | CA | MD | Pediatric Oncology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1184864548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172208",
"telephone_number": "916-734-7006",
"fax_number": "916-734-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 STOCKTON BLVD FL 3",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172207",
"telephone_number": "916-734-7006",
"fax_number": "916-734-0980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "YVONNE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "R N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0218X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatric Oncology",
"state": "CA",
"license": "397650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UC DAVIS PROVIDER ID",
"identifier": "07202",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.