Individual provider Active NPI

Joanne Faye Cacatian Rocamora

  • Pharmacist
  • Hayward, CA
National Provider Identifier
1801173158
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60634 Issued in CA
Practice address
1432 Fry Lane
Hayward, CA 94545
Phone
(510) 331-5104
NPI assigned
Nov 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60634 CA Primary

Addresses

Primary practice location

1432 Fry Lane
Hayward, CA 94545

Mailing address

1432 Fry LN
Hayward, CA 94545-2536
Phone (510) 331-5104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60634CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1801173158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 FRY LN",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452536",
            "telephone_number": "510-331-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 FRY LANE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94545",
            "telephone_number": "510-331-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCAMORA",
        "first_name": "JOANNE FAYE",
        "middle_name": "CACATIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "60634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.