Taiyun Roe, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A85651 Issued in CA

Practice address

1440 Military W
Suite 101
Benicia, CA 94510-2451

Phone

(707) 745-0711

Fax

(707) 745-0788

NPI assigned

Mar 28, 2006

Last updated

Feb 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Contra Costa County

  dba West County Adult Mental Health Services

  • Adult Mental Health Clinic/Center
  • San Pablo, CA
  • NPI 1376620336
  Medicare reassignment NPD
• Contra Costa County

  dba East County Adult Mental Health Services

  • Adult Mental Health Clinic/Center
  • Pittsburg, CA
  • NPI 1073691598
  NPD
• Contra Costa County

  dba Contra Costa Health

  • General Acute Care Hospital
  • Martinez, CA
  • NPI 1386719086
  NPD
• Family Health Center of Benicia

  • Family Medicine Physician
  • Benicia, CA
  • NPI 1336194646
  NPD (past)
• Prime Medical Group

  • Primary Care Clinic/Center
  • Clayton, CA
  • NPI 1184083610
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1457312753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ALHAMBRA AVE",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533156",
            "telephone_number": "925-370-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 MILITARY W",
            "address_2": "SUITE 101",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102451",
            "telephone_number": "707-745-0711",
            "fax_number": "707-745-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "TAIYUN",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Rick, LMFT
• Rebecca Louise Ring, LMFT
• Heather J Ringer
• Katrina Valdes Rivero, RN
• Tasha Renee Robinson, CMT
• Patrick L Roetzer, DDS
• Amy Lynne Rogers, MFT, ATR-BC
• Sarah Rosinski, PT, MPT
• Elizabeth Ann Rosmaryn-Ta
• Larry Donald Rust, P.T.A.

• Family Medicine Physician in Benicia, CA
• Providers in Benicia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.

Verify at the official NPI Registry.