Individual provider Active NPI

Mario Roldan, D.O.

  • Surgery Physician
  • Salinas, CA
National Provider Identifier
1245691450
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A19064 Issued in CA
Practice address
236 San Jose St
Salinas, CA 93901-3901
Phone
(831) 424-7389
NPI assigned
Mar 15, 2016
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A19064 CA Primary

Addresses

Primary practice location

236 San Jose St
Salinas, CA 93901-3901

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 242-8301

Other practice location 1

1901 N California St
Stockton, CA 95204-6005
Phone (209) 946-6800

Other practice location 2

355 Abbott St Ste 100
Salinas, CA 93901-4484
Phone (831) 751-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210925000119 CA Practitioner - General Surgery 6103158373 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

236 San Jose St
Salinas, CA 93901-3901
Phone (831) 424-7389

850 5TH St
Gonzales, CA 93926-9491
Phone (831) 675-3601

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
19064CAMDDentist
20A19064CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince Jun 1, 2024 Accepting new patients
Timothy Bechtel, MD Inc. Surgery CurrentSince Apr 2, 2022 Accepting new patients
Salinas Valley Memorial Healthcare System CurrentSince Jan 1, 2025 Accepting new patients
Svmhs Clinics CurrentSince Jun 1, 2024 Accepting new patients
Salinas Valley Memorial Healthcare System CurrentSince Jan 1, 2025 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Dignity Health Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients

Locations

850 5th St
Gonzales, CA 93926
Phone (831) 657-3601

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

Dept LA 24403
Pasadena, CA 91185

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

236 San Jose St
Salinas, CA 93901
Phone (831) 422-2666

355 Abbott St
Ste 100
Salinas, CA 93901
Phone (831) 751-7070

2800 N California St
Ste 6
Stockton, CA 95204
Phone (209) 851-2144

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mroldan19070@direct.svmh.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1245691450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-242-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 SAN JOSE ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013901",
            "telephone_number": "831-424-7389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N California St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952046005",
            "country_code": "US",
            "telephone_number": "209-946-6800",
            "fax_number": "209-946-6805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Abbott St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939014484",
            "country_code": "US",
            "telephone_number": "831-751-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLDAN",
        "first_name": "MARIO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-15",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A19064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.