Active NPI
Roshan Destiny Uranwala, NP
- Nurse Practitioner
- Emeryville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95011193
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Healthcare Alliance | Current | Accepting new patients | |
| Marin City Health and Wellness Center | Current | Accepting new patients | |
| Marin City Health and Wellness Center | Current | Accepting new patients | |
| Tri-Valley Orthopedic and Sports Medical Group Inc | Past | Accepting new patients | |
| University Healthcare Alliance | Past | 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
- ruranwala445903@direct.stanfordhealthcare.org
- 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.
-
- Internal Medicine Physician
- Newark, CA
- NPI 1760531198
-
- Federally Qualified Health Center (FQHC)
- Sausalito, CA
- NPI 1285804948
-
- Federally Qualified Health Center (FQHC)
- Sausalito, CA
- NPI 1902681489
-
- Orthopaedic Surgery Physician
- Pleasanton, CA
- NPI 1184808156
-
- Family Medicine Physician
- San Pablo, CA
- NPI 1043246481
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.