Individual provider Active NPI

Alejandro Roman

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1336902477
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36666 Issued in CA
Practice address
900 Noe St
San Francisco, CA 94114-3309
Phone
(317) 657-8221
NPI assigned
Feb 1, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36666 CA Primary

Addresses

Primary practice location

900 Noe St
San Francisco, CA 94114-3309

Mailing address

1118 Pepper Rd
San Jose, CA 95133-3209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218000877 CA Practitioner - Chiropractic 5991290884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1118 Pepper Rd
San Jose, CA 95133-3209

5707 Redwood Rd
Suite 7
Oakland, CA 94619-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36666CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nolan Sport & Family Chiropractic Chiropractor CurrentSince Oct 6, 2025 Accepting new patients

Locations

5707 Redwood Rd
Ste 7
Oakland, CA 94619
Phone (408) 964-0357

Interoperability endpoints

  • Direct secure messaging: alex.roman.1@19661.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1336902477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 PEPPER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951333209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NOE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143309",
            "telephone_number": "317-657-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "ALEJANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.