Individual provider Active NPI

Aaron Mellor Roland, M.D.

  • Family Medicine Physician
  • Burlingame, CA
National Provider Identifier
1669556361
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G065645 Issued in CA
Practice address
1720 El Camino Real
Suite 130
Burlingame, CA 94010-3224
Phone
(650) 692-0977
Fax
(650) 259-5840
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G065645 CA Primary

Addresses

Primary practice location

1720 El Camino Real
Suite 130
Burlingame, CA 94010-3224

Mailing address

1720 El Camino Real
Suite 130
Burlingame, CA 94010-3224
Phone (650) 692-0977

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
I20101129000200 CA Practitioner - Family Practice 3870789118 Receives reassigned benefits from 3 practitioners
Practice locations: San Mateo, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3050 S Delaware St
Suite 130
San Mateo, CA 94403-2394
Phone (650) 692-0977

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G065645CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron M. Roland Family Medicine CurrentSince Dec 29, 2012 Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients

Locations

1720 El Camino Real
Ste 130
Burlingame, CA 94010
Phone (650) 692-0977

1720 El Camino Real
Ste 165
Burlingame, CA 94010
Phone (650) 692-0977

3050 S Delaware St
Ste 130
San Mateo, CA 94403
Phone (650) 319-8654

Interoperability endpoints

  • Direct secure messaging: aroland45021@hisp.ehr.sutterhealth.org

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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 2

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1669556361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL",
            "address_2": "SUITE 130",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103224",
            "telephone_number": "650-692-0977",
            "fax_number": "650-259-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL",
            "address_2": "SUITE 130",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103224",
            "telephone_number": "650-692-0977",
            "fax_number": "650-259-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "AARON",
        "middle_name": "MELLOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G065645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.