Active NPI
Rosa Devora Roman, ,BSW
- Case Manager/Care Coordinator
- Los Angeles, CA
National Provider Identifier
1306511969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 757 Westwood PLZ
Los Angeles, CA 90095-2109 - Phone
- (310) 825-9111
- NPI assigned
- Aug 14, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
757 Westwood PLZ
Los Angeles, CA 90095-2109
Mailing address
10833 Leconte Ave
Suite 7V-111 CHS
Los Angeles, CA 90095
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnest Emotional Health & Wellness | Past | Accepting new patients | |
| Pacific Clinics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Ontario, CA
- NPI 1902273923
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1639293574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1306511969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10833 LECONTE AVE",
"address_2": "SUITE 7V-111 CHS",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 WESTWOOD PLZ",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900952109",
"telephone_number": "310-825-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVORA ROMAN",
"first_name": "ROSA",
"credential": ",BSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-14",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.