Active NPI
Elizabeth Jenniper Roces
- Physical Therapy Assistant
- Walnut Creek, CA
National Provider Identifier
1649731696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 10744
- Practice address
- 1449 Ygnacio Valley Rd
Walnut Creek, CA 94598-2932 - Phone
- (925) 939-5820
- NPI assigned
- Mar 30, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 10744 | CA | Primary |
Addresses
Primary practice location
1449 Ygnacio Valley Rd
Walnut Creek, CA 94598-2932
Mailing address
1967 W Summerfield CT
Oakley, CA 94561-3078
Phone (415) 845-9825
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 |
|---|---|---|---|
| 10744 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553904000000",
"number": "1649731696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1967 W SUMMERFIELD CT",
"city": "OAKLEY",
"state": "CA",
"postal_code": "945613078",
"telephone_number": "415-845-9825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1449 YGNACIO VALLEY RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982932",
"telephone_number": "925-939-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCES",
"first_name": "ELIZABETH",
"middle_name": "JENNIPER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-30",
"last_updated": "2019-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "10744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.