Dre'Shon J Rolle

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Practice address

28601 Los Alisos Blvd Apt 1054
Mission Viejo, CA 92692-7909

Phone

(602) 350-9515

NPI assigned

Oct 31, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Genincode US Inc

  • Clinical Medical Laboratory
  • Irvine, CA
  • NPI 1265219752
  NPD

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1780284372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28601 LOS ALISOS BLVD APT 1054",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926927909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28601 LOS ALISOS BLVD APT 1054",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926927909",
            "telephone_number": "602-350-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLE",
        "first_name": "DRE'SHON",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Rogers, D.C.
• Samuel Rogerson
• Emilee Rohrer
• Saghi Rokhshadfar, MD
• Ahmad Rokni, DMD
• Jasmine Rollins, LCSW
• Alexandra Romero
• Cristina Lee Ann Romero, BA
• Karin Veronica Romero
• Christopher Romig, MD

• Medical Laboratory Technician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Medical Laboratory Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.