Active NPI
Martin Roco, FNP
- Primary Care Nurse Practitioner
- Napa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NP95027617
- Practice address
- 1141 Pear Tree LN
Napa, CA 94558-6484 - Phone
- (707) 254-1770
- NPI assigned
- Oct 3, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 005192 | CT | |
| Family Nurse Practitioner | 363LF0000X | 201500803NP-PP | OR | |
| Primary Care Nurse Practitioner | 363LP2300X | NP95027617 | CA | Primary |
Addresses
Primary practice location
1141 Pear Tree LN
Napa, CA 94558-6484
Mailing address
3325 Jefferson St # 1116
Napa, CA 94558-3437
Phone (562) 607-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005192 | CT | MD | Clinical Psychologist |
| NP95027617 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco LLC | Current | Accepting new patients | |
| Waterfall Clinic Incorporated | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Waterfall Clinic Incorporated | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Waterfall Clinic, Incorporated | Current | Accepting new patients | |
| North Bend Medical Center Inc | Current | Accepting new patients |
Locations
1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151
1445 Gateway Blvd
Cottage Grove, OR 97424
Phone (541) 767-3023
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
1292 High St
Eugene, OR 97401
Phone (541) 636-3473
1890 Waite St
Ste 1
North Bend, OR 97459
Phone (541) 435-7033
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Eugene, OR
- NPI 1407004757
-
- Multi-Specialty Clinic/Center
- Coos Bay, OR
- NPI 1407812365
-
- Federally Qualified Health Center (FQHC)
- North Bend, OR
- NPI 1619915113
-
- Rural Health Clinic/Center
- Florence, OR
- NPI 1740896547
-
- Family Medicine Physician
- Eugene, OR
- NPI 1992861611
-
- Federally Qualified Health Center (FQHC)
- Powers, OR
- NPI 1609151810
-
- Psychiatric/Mental Health Nurse Practitioner
- Coos Bay, OR
- NPI 1619673704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1255683140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 JEFFERSON ST # 1116",
"city": "NAPA",
"state": "CA",
"postal_code": "945583437",
"telephone_number": "562-607-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 PEAR TREE LN",
"city": "NAPA",
"state": "CA",
"postal_code": "945586484",
"telephone_number": "707-254-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCO",
"first_name": "MARTIN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-03",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "005192",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201500803NP-PP",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "NP95027617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.