Audrey Kate Rocco-Welch, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G65998 Issued in CA

Practice address

30300 Camino Capistrano
San Juan Capistrano, CA 92675-1304

Phone

(949) 240-2030

Fax

(949) 240-5869

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Audrey Kate Rocco Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: audreyrocco@chcca.allscriptsdirect.net

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.

• Camino Health Center

  • Community Health Clinic/Center
  • San Juan Capistrano, CA
  • NPI 1366560393
  Medicare reassignment NPD
• Camino Health Center

  • Federally Qualified Health Center (FQHC)
  • Lake Forest, CA
  • NPI 1194274811
  NPD

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1770616716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY STE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918018",
            "telephone_number": "949-276-2111",
            "fax_number": "949-276-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30300 CAMINO CAPISTRANO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751304",
            "telephone_number": "949-240-2030",
            "fax_number": "949-240-5869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26800 Crown Valley Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926918018",
            "country_code": "US",
            "telephone_number": "949-276-2111",
            "fax_number": "949-276-2116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27231 La Paz Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926773627",
            "country_code": "US",
            "telephone_number": "949-643-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCCO-WELCH",
        "first_name": "AUDREY",
        "middle_name": "KATE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G65998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00G659980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA",
            "identifier": "00G65998",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "ROCCO",
            "middle_name": "KATE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jamie Rodgers, ATC
• Heather Dumpit Rodriguez

• Internal Medicine Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.