NPIMap

Individual provider Active NPI

Roeliza E. Pascua, M.D.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1861503443
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A72733 Issued in CA
Practice address
625 Lincoln Ave
San Jose, CA 95126-3705
Phone
(408) 278-3003
Fax
(408) 278-3298
NPI assigned
Aug 31, 2006
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A72733 CA Primary

Addresses

Primary practice location

625 Lincoln Ave
San Jose, CA 95126-3705

Mailing address

625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400

Other identifiers 1

IdentifierTypeStateIssuer
00A727330MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000277 CA Practitioner - Internal Medicine 6709912165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.25 of 100Reported as subgroup
Quality
87.84
Promoting interoperability
100
Improvement activities
40
Cost
76.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A72733CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Apr 1, 2019 Accepting new patients
Verity Medical Foundation CurrentSince Apr 1, 2012 Accepting new patients
DCHS Medical Foundation Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

9360 No Name Uno
Ste 125
Gilroy, CA 95020
Phone (408) 846-9444

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

9360 N Name Uno
San Francisco, CA 94139
Phone (408) 278-3003

400 Race St
San Jose, CA 95126

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

Interoperability endpoints

  • Direct secure messaging: rpascua18893@icare.elcaminohospital.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1861503443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263785",
            "telephone_number": "408-871-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263705",
            "telephone_number": "408-278-3003",
            "fax_number": "408-278-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUA",
        "first_name": "ROELIZA",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A72733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A727330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.