Active NPI
Ralph Roman Roan, M.D.
- Surgery Physician
- San Francisco, CA
National Provider Identifier
1801871439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C315740
- Practice address
- 3838 California St
Suite 610
San Francisco, CA 94118-1522 - Phone
- (415) 752-1001
- Fax
- (415) 752-0540
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C315740 | CA | Primary |
Addresses
Primary practice location
3838 California St
Suite 610
San Francisco, CA 94118-1522
Mailing address
3838 California St
Suite 610
San Francisco, CA 94118-1522
Phone (415) 752-1001
Other names 1
- Ralph Roan
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C315740 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1801871439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 CALIFORNIA ST",
"address_2": "SUITE 610",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181522",
"telephone_number": "415-752-1001",
"fax_number": "415-752-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 CALIFORNIA ST",
"address_2": "SUITE 610",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181522",
"telephone_number": "415-752-1001",
"fax_number": "415-752-0540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROAN",
"first_name": "RALPH",
"middle_name": "ROMAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C315740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RALPH",
"last_name": "ROAN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.