Individual provider Active NPI

Roshan Destiny Uranwala, NP

  • Nurse Practitioner
  • Emeryville, CA
National Provider Identifier
1811454531
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95011193 Issued in CA
Practice address
6121 Hollis St Ste 800
Emeryville, CA 94608-2077
Phone
(510) 893-1700
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95011193 CA Primary

Addresses

Primary practice location

6121 Hollis St Ste 800
Emeryville, CA 94608-2077

Mailing address

6121 Hollis St Ste 800
Emeryville, CA 94608-2077
Phone (510) 893-1700

Other practice location 1

1353 Washington Ave Ste D2
San Leandro, CA 94577-3645
Phone (510) 608-4836

Other practice location 2

6315 3rd St
San Francisco, CA 94124-3501
Phone (415) 339-8813

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://carbonhealth.com/
Other URL https://www.marincityclinic.org/

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191226001779 CA Practitioner - Nurse Practitioner 4981038015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

4725 1St St
Suite 100
Pleasanton, CA 94566-7366
Phone (925) 462-7060

6121 Hollis St
Emeryville, CA 94608-2077

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance CurrentSince May 16, 2025 Accepting new patients
Marin City Health and Wellness Center Current Accepting new patients
Marin City Health and Wellness Center CurrentSince Jun 7, 2021 Accepting new patients
Tri-Valley Orthopedic and Sports Medical Group Inc Past Accepting new patients
University Healthcare Alliance PastSince Jul 7, 2024 Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

6121 Hollis St
Ste 800
Emeryville, CA 94608
Phone (510) 686-3621

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

6301 3rd St
San Francisco, CA 94124
Phone (415) 339-8813

880 Las Gallinas Ave
Ste 2
San Rafael, CA 94903
Phone (415) 339-8813

630 Drake Ave
Sausalito, CA 94965
Phone (415) 339-8813

Interoperability endpoints

  • Direct secure messaging: ruranwala445903@direct.stanfordhealthcare.org
  • Direct secure messaging: ruranwala111210@alamedahs.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1811454531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 HOLLIS ST STE 800",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082077",
            "telephone_number": "510-893-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 HOLLIS ST STE 800",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082077",
            "telephone_number": "510-893-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1353 Washington Ave Ste D2",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945773645",
            "country_code": "US",
            "telephone_number": "510-608-4836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6315 3rd St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941243501",
            "country_code": "US",
            "telephone_number": "415-339-8813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URANWALA",
        "first_name": "ROSHAN",
        "middle_name": "DESTINY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://carbonhealth.com/",
            "affiliation": "N",
            "address_1": "1353 Washington Ave Ste D2",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945773645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.marincityclinic.org/",
            "affiliation": "N",
            "address_1": "6315 3rd St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941243501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.