Brad Roelofs, CCT

Primary specialty

Cardiology TechnicianTaxonomy code 246W00000X

Practice address

27702 Crown Valley Pkwy
D4149
Ladera Ranch, CA 92694-0608

Phone

(949) 407-8911

NPI assigned

Apr 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Securecardio, LLC

  • Physiological Laboratory
  • Ladera Ranch, CA
  • NPI 1740622877
  NPD Authorized official

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1831363910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27702 CROWN VALLEY PKWY # D4-149",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27702 CROWN VALLEY PKWY",
            "address_2": "D4149",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940608",
            "telephone_number": "949-407-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROELOFS",
        "first_name": "BRAD",
        "name_prefix": "Mr.",
        "credential": "CCT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ITS",
            "identifier": "ZZZ42363Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Huijia Robles
• Yvan Rodrigues, MD
• Barbara Rodriguez
• Luis Angel Rodriguez
• Nitza Ninoska Rodriguez, DPM
• Adela Viviana Romero I
• Salvina Terese Rondoni, LPCC
• Ross Medical Associates Ladera
• Gina Lynn Ross, PTA
• Tina Rossi

• Cardiology Technician in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Cardiology Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.