Individual provider Active NPI

Peter Roca, M.D.

  • Obstetrics & Gynecology Physician
  • Santa Maria, CA
National Provider Identifier
1659449379
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A42841 Issued in CA
Practice address
220 S Palisade Dr Ste 203
Santa Maria, CA 93454-8903
Phone
(805) 354-7101
Fax
(805) 354-7102
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A42841 CA Primary

Addresses

Primary practice location

220 S Palisade Dr Ste 203
Santa Maria, CA 93454-8903

Mailing address

220 S Palisade Dr Ste 203
Santa Maria, CA 93454-8903
Phone (805) 354-7101

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090522000386 CA Practitioner - Obstetrics/Gynecology 0648329599 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Obstetrics & Gynecology CurrentSince Mar 2, 2009 Accepting new patients
Pih Health Physicians CurrentSince Mar 2, 2009 Accepting new patients
Pih Health Physicians Current Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

6557 Greenleaf Ave
Whittier, CA 90601
Phone (562) 789-5401

12462 Putnam St
Ste 303
Whittier, CA 90602
Phone (562) 789-5440

7630 Painter Ave
Whittier, CA 90602
Phone (562) 693-4325

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1659449379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S PALISADE DR STE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548903",
            "telephone_number": "805-354-7101",
            "fax_number": "805-354-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S PALISADE DR STE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548903",
            "telephone_number": "805-354-7101",
            "fax_number": "805-354-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCA",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A42841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.