NPIMap

Individual provider Active NPI

Juula Marina Roman, M.D

  • Internal Medicine Physician
  • Ventura, CA
National Provider Identifier
1619280633
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6407 Issued in NE
Practice address
147 N Brent St
Ventura, CA 93003-2809
Phone
(805) 948-5652
Fax
(805) 948-1601
NPI assigned
Jul 19, 2010
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6407 NE Primary

Addresses

Primary practice location

147 N Brent St
Ventura, CA 93003-2809

Mailing address

1925 S Rice Rd
Ojai, CA 93023-3805
Phone (805) 666-9510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130709000681 CA Practitioner - HospitalistPractitioner - Internal Medicine 8123268471 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Inpatient PhysiciansGroup PAC ID 4789998170, 35 clinicians

Practice addresses (Care Compare)

147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5652

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6407NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System CurrentSince Sep 1, 2022 Accepting new patients
Pacific Inpatient Physicians CurrentSince Nov 1, 2019 Accepting new patients
Community Memorial Health System CurrentSince Sep 1, 2022 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Cogent Healthcare of California, PC Internal Medicine Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

4020 Loma Vista Rd
Ventura, CA 93003
Phone (805) 642-4196

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1619280633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 S RICE RD",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233805",
            "telephone_number": "805-666-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N BRENT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032809",
            "telephone_number": "805-948-5652",
            "fax_number": "805-948-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JUULA",
        "middle_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "6407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.