Individual provider Active NPI

Roger Paul Langford, PA-C

  • Physician Assistant
  • Hollister, CA
National Provider Identifier
1821211749
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10814 Issued in CA
Practice address
930 Sunset Dr Ste 3
Hollister, CA 95023-5620
Phone
(831) 636-2664
Fax
(831) 636-2641
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10814 CA Primary

Addresses

Primary practice location

930 Sunset Dr Ste 3
Hollister, CA 95023-5620

Mailing address

1451 Hall Ave
Hollister, CA 95023-6243
Phone (831) 637-8405

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
I20140702000054 CA Practitioner - Physician Assistant 5799900999 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel Hawkins Memorial Hospital CurrentSince Oct 1, 2004 Accepting new patients
Hazel Hawkins Memorial Hospital CurrentSince Oct 1, 2004 Accepting new patients

Locations

930 Sunset Dr
Ste 3
Hollister, CA 95023
Phone (831) 636-2664

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

Interoperability endpoints

  • Direct secure messaging: roger.langford@hhch.eclinicaldirectplus.com

Organizations & group practices 2

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821211749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 HALL AVE",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950236243",
            "telephone_number": "831-637-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SUNSET DR STE 3",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235620",
            "telephone_number": "831-636-2664",
            "fax_number": "831-636-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGFORD",
        "first_name": "ROGER",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA10814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

Verify at the official NPI Registry.