Active NPI
Roberto Oscar Roldan
- Pharmacist
- Daly City, CA
National Provider Identifier
1639869324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH87679
- Practice address
- 216 Westlake Ctr
Daly City, CA 94015-1430 - Phone
- (650) 756-4535
- NPI assigned
- May 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH87679 | CA | Primary |
Addresses
Primary practice location
216 Westlake Ctr
Daly City, CA 94015-1430
Mailing address
PO Box 423
San Bruno, CA 94066-0423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH87679 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1639869324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 423",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940660423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 WESTLAKE CTR",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940151430",
"telephone_number": "650-756-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN",
"first_name": "ROBERTO",
"middle_name": "OSCAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH87679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.