Roland Hart MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C34191 Issued in CA

Legal business name

ROLAND HART MD INC

Practice address

3031 W March LN
Suite 336E
Stockton, CA 95219-6500

Phone

(209) 957-3821

Fax

(209) 957-1179

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roland Hart, MD

Title

Owner

Phone

(209) 957-3821

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1255503629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 W MARCH LN",
            "address_2": "SUITE 336E",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952196500",
            "telephone_number": "209-957-3821",
            "fax_number": "209-957-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W MARCH LN",
            "address_2": "SUITE 336E",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952196500",
            "telephone_number": "209-957-3821",
            "fax_number": "209-957-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLAND HART MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-957-3821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C34191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C341910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santiago Rojas Paez, M.D.
• Dulce Rojas Ramirez
• Jeanette Rojas
• Maria Ana Rojas
• Allen Rojhani
• Natalie Rold, R.D.
• Crystal Michele Rollaceli
• Sriporn Note Rolph
• Linda Jean Rolufs, MFT
• Juliana Yolanda Roman Jaimes

• Dermatology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.