Active NPI
Charles M Rocamboli, D.O.
- Adult Medicine Physician
- Lancaster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 20A9192
- Practice address
- 44469 10TH St W
Lancaster, CA 93534-3324 - Phone
- (661) 945-9411
- Fax
- (661) 723-7170
- NPI assigned
- Sep 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 20A9192 | CA | Primary |
Addresses
Primary practice location
44469 10TH St W
Lancaster, CA 93534-3324
Mailing address
44469 10TH St W
Lancaster, CA 93534-3324
Phone (661) 945-9411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 70.2 of 100
- Quality
- 74.9
- Improvement activities
- 40
- Cost
- 20.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9192 | CA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Lakeside Medical Organization, a Medical Group Inc. | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Irene Benn Medical Center | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| DHHS IHS Phoenix | Current | Accepting new patients |
Locations
12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137
191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671
191 S Buena Vista St
Ste 150
Burbank, CA 91505
Phone (818) 295-5920
8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000
1500 W West Covina Pkwy
West Covina, CA 91790
Phone (626) 430-9991
Interoperability endpoints
- charles.rocamboli.p1@direct.lakeside.nextgenshare.com
Organizations & group practices 6
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.
-
- Federal Public Health Clinic/Center
- Havasu Lake, CA
- NPI 1396022026
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1831426642
-
- Clinic/Center
- Supai, AZ
- NPI 1184901829
-
- Clinic/Center
- Peach Springs, AZ
- NPI 1265719934
-
- Critical Access Hospital
- Parker, AZ
- NPI 1851678585
-
- Clinic/Center
- Moapa, NV
- NPI 1841535317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1366639049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44469 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343324",
"telephone_number": "661-945-9411",
"fax_number": "661-723-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44469 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343324",
"telephone_number": "661-945-9411",
"fax_number": "661-723-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCAMBOLI",
"first_name": "CHARLES",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "20A9192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.
- 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.