Roy M. Raroque, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

K 3416 Issued in TX

Practice address

2615 E Clinton Ave
V.a. Central California Health Care System
Fresno, CA 93703-2223

Phone

(559) 228-5336

Fax

(559) 228-6910

NPI assigned

Sep 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Neurology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of California - Department of Developmental ServicesGroup PAC ID 4082788732, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• State of California - Department of Developmental Services

  dba Lanterman Developmental Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1154372498
  Medicare reassignment Care Compare group NPD
• Agnews Community Clinic

  • Developmental Disabilities Clinic/Center
  • San Jose, CA
  • NPI 1710148515
  NPD
• State of California - Department of Developmental Services

  • General Acute Care Hospital
  • Porterville, CA
  • NPI 1588615835
  NPD

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750483541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E CLINTON AVE",
            "address_2": "V.A. CENTRAL CALIFORNIA HEALTH CARE SYSTEM",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032223",
            "telephone_number": "559-228-5336",
            "fax_number": "559-228-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E CLINTON AVE",
            "address_2": "V.A. CENTRAL CALIFORNIA HEALTH CARE SYSTEM",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032223",
            "telephone_number": "559-228-5336",
            "fax_number": "559-228-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAROQUE",
        "first_name": "ROY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K 3416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravi D Rao, MD
• Rapha Christian Counseling Center
• Rapid Acceler LLC
• Rapid Compliance Services, Inc
• Christine Rariden, PTA
• Nipha Jackie Rasaphone
• Angelica Rascon Valles, MSW
• Mara Tibayan Rase, PHARMD
• Brooke Leila Rasgo, PHARMD
• Salma Rashed

• Psychiatry Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.