Individual provider Active NPI

Nicholas Ray Rocco, M.D.

  • Urology Physician
  • Camp Pendleton, CA
National Provider Identifier
1538508379
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
132753 Issued in CA
Practice address
200 Mercy Cir
Camp Pendleton, CA 92055-5191
Phone
(760) 719-3209
NPI assigned
Jun 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X 132753 CA Primary

Addresses

Primary practice location

200 Mercy Cir
Camp Pendleton, CA 92055-5191

Mailing address

PO Box 555191
Camp Pendleton, CA 92055-5191
Phone (760) 719-3209

Other practice location 1

2005 Knight Lane BLDG H
Navy Medicine Support Command ATTN: Medical Staff Servi
Jacksonville, FL 32212-0140
Phone (904) 542-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, CA, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230113002312 GU Practitioner - Urology 5193129211
I20240131004759 CA Practitioner - Urology 5193129211 Reassigns benefits to 5 organizations
I20260618000386 OR Practitioner - Urology 5193129211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orohealth Corporation a Non Profit Healthcare SystemGroup PAC ID 4082501192, 126 clinicians
United Urology Consultants, P.C.Group PAC ID 8820341399, 6 clinicians
Emergency Services Medical CorporationGroup PAC ID 6204720196, 8 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

2767 Olice Hwy
Oroville, CA 95966-6118

2767 Olive Hwy
Oroville, CA 95966-6118

4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000

5893 Copley Dr
San Diego, CA 92111-7906
Phone (858) 616-5499

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
132753CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jun 20, 2025 Accepting new patients
Guam Urology, LLC Urology CurrentSince Jun 9, 2022 Accepting new patients
United Urology Consultants, P.C. Urology CurrentSince Dec 19, 2023 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jan 7, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 20, 2025 Accepting new patients
Orohealth Corporation a Non Profit Healthcare System CurrentSince Jan 16, 2026 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

633 Gov Carlos G Camacho Rd
Ste 104
Tamuning, GU 96913
Phone (671) 646-4263

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1538508379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555191",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "760-719-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY CIR",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "760-719-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Knight Lane BLDG H",
            "address_2": "Navy Medicine Support Command ATTN: Medical Staff Servi",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322120140",
            "country_code": "US",
            "telephone_number": "904-542-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCCO",
        "first_name": "NICHOLAS",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "132753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Pendleton, CA

Sources for this page

Verify at the official NPI Registry.